Individual provider Active NPI

Christopher Robert Paolino, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
National Provider Identifier
1467814699
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS040910 Issued in PA
Practice address
1708 Lovering Ave Ste 101
Wilmington, DE 19806-2141
Phone
(302) 319-4852
NPI assigned
Mar 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS040910 PA Primary

Addresses

Primary practice location

1708 Lovering Ave Ste 101
Wilmington, DE 19806-2141

Mailing address

1708 Lovering Ave Ste 101
Wilmington, DE 19806-2141
Phone (302) 384-6369

Other practice location 1

15 Regency Plz
Glen Mills, PA 19342-1000
Phone (610) 459-4179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210602003377 PA Practitioner - Oral Surgery 2961794821 Reassigns benefits to 2 organizations
I20211109000078 DE Practitioner - Maxillofacial SurgeryPractitioner - Dentist 2961794821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Tufts University School of Dental Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1068 W Baltimore Pike
Media, PA 19063-5104
Phone (484) 227-9400

1708 Lovering Ave
Suite 101
Wilmington, DE 19806-2141
Phone (302) 319-4852

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paolino Oral & Facial Surgery Center PA Oral and Maxillofacial Surgery CurrentSince Sep 1, 2021 Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

501 W 14th St
Ste 2W22
Wilmington, DE 19801
Phone (302) 320-4850

1708 Lovering Ave
Ste 101
Wilmington, DE 19806
Phone (302) 319-4852

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1467814699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 LOVERING AVE STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062141",
            "telephone_number": "302-384-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 LOVERING AVE STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062141",
            "telephone_number": "302-319-4852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Regency Plz",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421000",
            "country_code": "US",
            "telephone_number": "610-459-4179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAOLINO",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.