Active NPI
Hayley K Willer, DDS
- Dentist
- Wilmington, DE
National Provider Identifier
1376004218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- G1-0001470
- Practice address
- 2205 Silverside Rd
Wilmington, DE 19810-4534 - Phone
- (302) 475-5555
- Fax
- (302) 475-5861
- NPI assigned
- Mar 25, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | G1-0001470 | DE | Primary |
Addresses
Primary practice location
2205 Silverside Rd
Wilmington, DE 19810-4534
Mailing address
2205 Silverside Rd
Wilmington, DE 19810-4534
Phone (302) 475-5555
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 |
|---|---|---|---|---|
| I20190814001995 | DE | Order and Referring Only - Dentist | 9436486446 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0001470 | DE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1376004218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 SILVERSIDE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104534",
"telephone_number": "302-475-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 SILVERSIDE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104534",
"telephone_number": "302-475-5555",
"fax_number": "302-475-5861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLER",
"first_name": "HAYLEY",
"middle_name": "K",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DE",
"license": "G1-0001470",
"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 May 6, 2021; 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.