Organization Active NPI

Delaware Therapeutics Inc

  • Specialist
  • Bear, DE
National Provider Identifier
1710194337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1999201447 Issued in DE
Legal business name
DELAWARE THERAPEUTICS INC
Practice address
12 Fox Hunt Dr
Bear, DE 19701-2534
Phone
(302) 836-6150
Fax
(302) 836-6294
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chuck Ferguson, LMTNPI 1134335862
Title
Massage Therapist
Phone
(302) 836-6150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1999201447 DE Primary

Addresses

Primary practice location

12 Fox Hunt Dr
Bear, DE 19701-2534

Mailing address

12 Fox Hunt Dr
Bear, DE 19701-2534
Phone (302) 836-6150

Other identifiers 1

IdentifierTypeStateIssuer
MT-0001046OtherDEMASSAGE THERAPIST LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710194337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FOX HUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012534",
            "telephone_number": "302-836-6150",
            "fax_number": "302-836-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FOX HUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012534",
            "telephone_number": "302-836-6150",
            "fax_number": "302-836-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE THERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "302-836-6150",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DE",
            "license": "1999201447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE",
            "identifier": "MT-0001046",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.