Individual provider Active NPI

Richard S Dantonio, DMD

  • Dentist
  • Wilmington, DE
National Provider Identifier
1497973804
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02226900 Issued in NJ
Practice address
1415 Foulk Road
Suite 200
Wilmington, DE 19803-2748
Phone
(302) 477-4900
Fax
(302) 477-4943
NPI assigned
Apr 23, 2007
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
Dentist 122300000X 22DI02226900 NJ Primary

Addresses

Primary practice location

1415 Foulk Road
Suite 200
Wilmington, DE 19803-2748

Mailing address

1415 Foulk Road
Suite 200
Wilmington, DE 19803-2748
Phone (302) 477-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529000920 DE Order and Referring Only - DentistPractitioner - Dentist 3870813041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02226900NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Management Strategies LLC Dentist PastSince Oct 4, 2020 Accepting new patients

Organizations & group practices 1

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497973804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 FOULK ROAD",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032748",
            "telephone_number": "302-477-4900",
            "fax_number": "302-477-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FOULK ROAD",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032748",
            "telephone_number": "302-477-4900",
            "fax_number": "302-477-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTONIO",
        "first_name": "RICHARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02226900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.