Active NPI
Colin John Stanhope, DDS, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Wilmington, NC
National Provider Identifier
1679093603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 2026-00045
- Practice address
- 5505 Currituck Dr Ste 200
Wilmington, NC 28403-1155 - Phone
- (910) 662-9331
- Fax
- (910) 777-5887
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 16449 | MD | |
| Surgery Physician | 208600000X | D0096480 | MD | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 2026-00045 | NC | Primary |
Addresses
Primary practice location
5505 Currituck Dr Ste 200
Wilmington, NC 28403-1155
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Other practice location 1
1330 Liberty Rd Ste C
Eldersburg, MD 21784-5319
Phone (443) 776-1836
Other practice location 2
650 W Baltimore St
Baltimore, MD 21201-1510
Phone (410) 706-7101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 4, 2023 through Oct 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026-00045 | NC | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| D0096480 | MD | MD | Surgery Physician |
| 16449 | MD | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Dental Wellness | Past | 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.
-
- Dental Clinic/Center
- Eldersburg, MD
- NPI 1699448217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1679093603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936857",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311936857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 CURRITUCK DR STE 200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031155",
"telephone_number": "910-662-9331",
"fax_number": "910-777-5887"
}
],
"practiceLocations": [
{
"address_1": "1330 Liberty Rd Ste C",
"address_purpose": "LOCATION",
"city": "Eldersburg",
"state": "MD",
"postal_code": "217845319",
"country_code": "US",
"telephone_number": "443-776-1836",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 W Baltimore St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011510",
"country_code": "US",
"telephone_number": "410-706-7101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANHOPE",
"first_name": "COLIN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MD",
"license": "16449",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0096480",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NC",
"license": "2026-00045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.