Individual provider Active NPI

Steven D Nemcic, DDS

  • Periodontics
  • Dover, DE
National Provider Identifier
1447359120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
G1000887 Issued in DE
Practice address
910 Walker Rd
Ste a
Dover, DE 19904-2759
Phone
(302) 734-1950
Fax
(302) 734-4097
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X G1000887 DE Primary

Addresses

Primary practice location

910 Walker Rd
Ste a
Dover, DE 19904-2759

Mailing address

910 Walker Rd
Ste a
Dover, DE 19904-2759
Phone (302) 734-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G1000887DEMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
John B, Fontana, III, DMD, Ms, LLC Periodontics Past Accepting new patients
Steven D Nemcic DDS Ms PA Periodontics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447359120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WALKER RD",
            "address_2": "STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042759",
            "telephone_number": "302-734-1950",
            "fax_number": "302-734-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALKER RD",
            "address_2": "STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042759",
            "telephone_number": "302-734-1950",
            "fax_number": "302-734-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMCIC",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DE",
            "license": "G1000887",
            "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 Jul 8, 2007; 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.