Active NPI
Charis Maria O'Connor, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dover, DE
National Provider Identifier
1447516661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- G1-0001305
- Practice address
- 850 S State St
Dover, DE 19901-4113 - Phone
- (302) 678-1440
- Fax
- (302) 678-9984
- NPI assigned
- Apr 2, 2012
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0001305 | DE | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1447516661",
"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": {
"last_name": "O'CONNOR",
"first_name": "CHARIS",
"middle_name": "MARIA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"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.