Individual provider Active NPI

Javier Sanz Moliner

  • Periodontics
  • Wilmington, DE
National Provider Identifier
1275932006
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0401414561 Issued in VA
Practice address
2300 Pennsylvania Ave Ste 5C
Wilmington, DE 19806-1305
Phone
(302) 652-1533
NPI assigned
Aug 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 0401414561 VA Primary

Addresses

Primary practice location

2300 Pennsylvania Ave Ste 5C
Wilmington, DE 19806-1305

Mailing address

2300 Pennsylvania Ave Ste 5C
Wilmington, DE 19806-1305
Phone (703) 307-7789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401414561VAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Orthodontic Center LLC CurrentSince Nov 9, 2025 Accepting new patients
Delaware Periodontics and Implants LLC Periodontics Current Accepting new patients

Locations

2300 Pennsylvania Ave
Ste 5C
Wilmington, DE 19806
Phone (302) 652-1533

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1275932006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE STE 5C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061305",
            "telephone_number": "703-307-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE STE 5C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061305",
            "telephone_number": "302-652-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANZ MOLINER",
        "first_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2021-09-28",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401414561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.