Individual provider Active NPI

Colin John Stanhope, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Wilmington, NC
National Provider Identifier
1679093603
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
2026-00045 Issued in NC
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

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2026-00045NCMDOral & Maxillofacial Surgery (D.M.D.)
D0096480MDMDSurgery Physician
16449MDMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Dental Wellness PastSince Aug 1, 2021 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": "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

Verify at the official NPI Registry.