Delmarva Prosthodontics PA

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

1006 Issued in DE

Legal business name

DELMARVA PROSTHODONTICS PA

Practice address

871 S Governors Ave
Suite 1
Dover, DE 19904-4115

Phone

(302) 674-8331

Fax

(302) 674-4342

NPI assigned

Mar 31, 2006

Last updated

Aug 22, 2020By 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

Dr. Christopher David Burns, DDSNPI 1669436903

Title

President Owner

Phone

(302) 674-8331

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

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.

• Christopher David Burns, DDS

  • Prosthodontics
  • Dover, DE
  • NPI 1669436903
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336100023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 S GOVERNORS AVE",
            "address_2": "SUITE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044115",
            "telephone_number": "302-674-8331",
            "fax_number": "302-674-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 S GOVERNORS AVE",
            "address_2": "SUITE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044115",
            "telephone_number": "302-674-8331",
            "fax_number": "302-674-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA PROSTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "302-674-8331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "DE",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001058231",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaware Sleep Disorder Centers, LLC
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• Delmarva Orthotics and Prosthetics
• Delmarva Rural Ministries, Inc
• Delmarva Rural Ministries, Inc.
• Delmarva Rural Ministries, Inc.
• Delmarva Rural Ministries, Inc.
• Delmarva Rural Ministries, Inc.

• Prosthodontics in Dover, DE
• Providers in Dover, DE by specialty
• Prosthodontics in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.