Organization Active NPI

Delaware Dental Partners, LLP.

  • General Practice Dentistry
  • Delaware, OH
National Provider Identifier
1649506551
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22117 Issued in OH
Legal business name
DELAWARE DENTAL PARTNERS, LLP.
Practice address
1179 Columbus Pike
Delaware, OH 43015-2713
Phone
(740) 362-2202
Fax
(740) 362-2204
NPI assigned
Oct 28, 2009
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Dr. Mark HalversenNPI 1336271402
Title
DDS
Phone
(740) 362-2202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22117 OH Primary

Addresses

Primary practice location

1179 Columbus Pike
Delaware, OH 43015-2713

Mailing address

1179 Columbus Pike
Delaware, OH 43015-2713
Phone (740) 362-2202

National Provider Directory

National Provider Directory

Locations

1179 Columbus Pike
Delaware, OH 43015
Phone (740) 362-2202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1649506551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 COLUMBUS PIKE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152713",
            "telephone_number": "740-362-2202",
            "fax_number": "740-362-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 COLUMBUS PIKE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152713",
            "telephone_number": "740-362-2202",
            "fax_number": "740-362-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE DENTAL PARTNERS, LLP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "HALVERSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "740-362-2202",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "22117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.