Organization Active NPI

DRS. Robert W. Kidd and Charis O'Connor, PA

  • Dental Clinic/Center
  • Dover, DE
National Provider Identifier
1437415650
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
G1-0001305 Issued in DE
Legal business name
DRS. ROBERT W. KIDD AND CHARIS O'CONNOR, PA
Practice address
850 S State St
Dover, DE 19901-4113
Phone
(302) 678-1440
Fax
(302) 678-9984
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Charis O'Connor, DMD
Title
President
Phone
(302) 678-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X G1-0001305 DE Primary

Addresses

Primary practice location

850 S State St
Dover, DE 19901-4113

Mailing address

850 S State St
Dover, DE 19901-4113
Phone (302) 678-1440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1437415650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014113",
            "telephone_number": "302-678-1440",
            "fax_number": "302-678-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014113",
            "telephone_number": "302-678-1440",
            "fax_number": "302-678-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. ROBERT W. KIDD AND CHARIS O'CONNOR, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "CHARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-678-1440",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DE",
            "license": "G1-0001305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.