Active NPI
Deborah J Halligan, DDS
- General Practice Dentistry
- Newark, DE
National Provider Identifier
1285770867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- G10000938
- Practice address
- 414 Kirkwood Hwy
Newark, DE 19711 - Phone
- (302) 738-5766
- Fax
- (302) 738-3031
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | G10000938 | DE | Primary |
Addresses
Primary practice location
414 Kirkwood Hwy
Newark, DE 19711
Mailing address
414 Kirkwood Hwy
Newark, DE 19711
Phone (302) 738-5766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150528000611 | DE | Order and Referring Only - Other (Physician) | 8921328295 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G10000938 | DE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285770867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 KIRKWOOD HWY",
"city": "NEWARK",
"state": "DE",
"postal_code": "19711",
"telephone_number": "302-738-5766",
"fax_number": "302-738-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 KIRKWOOD HWY",
"city": "NEWARK",
"state": "DE",
"postal_code": "19711",
"telephone_number": "302-738-5766",
"fax_number": "302-738-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIGAN",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DE",
"license": "G10000938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.