Individual provider Active NPI

Amanda Bayley Matthews, D.M.D.

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1518257161
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001314 Issued in DE
Practice address
900 Foulk Rd Ste 203
Wilmington, DE 19803-3155
Phone
(302) 797-1212
Fax
(302) 797-1211
NPI assigned
Apr 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G1-0001314 DE Primary

Addresses

Primary practice location

900 Foulk Rd Ste 203
Wilmington, DE 19803-3155

Mailing address

2605 Kimbrough Dr
Wilmington, DE 19810-1404
Phone (302) 766-4632

Other practice location 1

900 Foulk Rd
Suite 203
Wilmington, DE 19803-3155
Phone (302) 778-3822

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
G1-0001314DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Dentistry, LLC General Practice Current Accepting new patients
Corinthian Enterprises LLC General Practice CurrentSince Sep 25, 2019 Accepting new patients
Bruce G. Fay, DMD, PA PastSince Sep 25, 2019 Accepting new patients

Locations

900 Foulk Rd
Ste 203
Wilmington, DE 19803
Phone (302) 778-3822

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.

NPI Registry JSON

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1518257161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KIMBROUGH DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198101404",
            "telephone_number": "302-766-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FOULK RD STE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033155",
            "telephone_number": "302-797-1212",
            "fax_number": "302-797-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Foulk Rd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033155",
            "country_code": "US",
            "telephone_number": "302-778-3822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "AMANDA",
        "middle_name": "BAYLEY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-17",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.