Wilmington Pediatric Dentistry PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WILMINGTON PEDIATRIC DENTISTRY PA

Doing business as

Wilmington Pediatric Dentistry PA

Practice address

Wilmington Pediatric Dentistry
3105 Limestone Rd Suite 305
Wilmington, DE 19808

Phone

(302) 933-9900

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lida Alimorad, DDSNPI 1013201987

Title

Provider/Owner

Phone

(301) 641-7143

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wilmington Pediatric Dentistry PA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lida Alimorad, D.D.S

  • Pediatric Dentistry
  • Wilmington, DE
  • NPI 1013201987
  NPD Authorized official

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1285331603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WILMINGTON PEDIATRIC DENTISTRY",
            "address_2": "3105 LIMESTONE RD SUITE 305",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-933-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILMINGTON PEDIATRIC DENTISTRY",
            "address_2": "3105 LIMESTONE RD SUITE 305",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-933-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON PEDIATRIC DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "ALIMORAD",
        "authorized_official_first_name": "LIDA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "301-641-7143",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800000233",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Pediatric Dentistry PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Pediatric Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.