Children'S Dental Health of Delaware - Wilmington, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

G1-0000909 Issued in DE

Legal business name

CHILDREN'S DENTAL HEALTH OF DELAWARE - WILMINGTON, PA

Practice address

708 Foulk Rd
Wilmington, DE 19803-3734

Phone

(302) 764-7714

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Van Phi Le

Title

Credentialing Contracts Manager

Phone

(267) 575-2321

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aesha Chaudhry, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilmington, DE
  • NPI 1417087529

  Pediatric Dentistry

  NPD (past)
• Laurie B Jacobs, D.M.D. PA

  • Pediatric Dentistry
  • Wilmington, DE
  • NPI 1275675951
  NPD (past)
• Barry B Roseman, D.M.D M.D.

  • Family Medicine Physician
  • Hockessin, DE
  • NPI 1538201215

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1316095904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILLOWBROOK LN STE 220",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825697",
            "telephone_number": "267-575-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033734",
            "telephone_number": "302-764-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL HEALTH OF DELAWARE - WILMINGTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VAN PHI",
        "authorized_official_title_or_position": "CREDENTIALING CONTRACTS MANAGER",
        "authorized_official_telephone_number": "267-575-2321"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DE",
            "license": "G1-0000909",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DE",
            "license": "G1-0000893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000443701",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000651508",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron S. Chidekel, MD
• Ngozi Theresa Chiekwu, PMHNP
• Child Psychology Solutions, LLC
• Child, Inc
• Children and Families First Delaware, Inc.
• Children'S Dental Health of Delaware, LLC
• Children'S Hospital of Philadelphia
• Elizabeth Rose Chiliberti, PA-C
• Zachary Lewis Chipman, DDS
• Julie Fino Chiquoine, C.F.N.P.

• All providers in Wilmington, DE
• Pediatric Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.