Organization Active NPI

Christiana Dental Associates, LLC

  • General Practice Dentistry
  • Newark, DE
National Provider Identifier
1407170608
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001263 Issued in DE
Legal business name
CHRISTIANA DENTAL ASSOCIATES, LLC
Practice address
4745 Ogletown Stanton Rd
Newark, DE 19713-2067
Phone
(302) 442-0800
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Dr. Taral Tushar Mehta, D.M.D.
Title
Partner
Phone
(302) 442-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X G1-0001265 DE
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X G1-0001263 DE Primary

Addresses

Primary practice location

4745 Ogletown Stanton Rd
Newark, DE 19713-2067

Mailing address

4745 Ogletown Stanton Rd
Newark, DE 19713-2067
Phone (302) 442-0800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1407170608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132067",
            "telephone_number": "302-442-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132067",
            "telephone_number": "302-442-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "TARAL",
        "authorized_official_middle_name": "TUSHAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "302-442-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001265",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001263",
            "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 Mar 17, 2010; 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.