Individual provider Active NPI

Dominic Prestipino, DDS

  • General Practice Dentistry
  • Rehoboth Beach, DE
National Provider Identifier
1780264150
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0011519 Issued in DE
Practice address
19643 Blue Bird LN Unit 1
Rehoboth Beach, DE 19971-6129
Phone
(302) 542-8632
NPI assigned
Apr 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 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 G1-0011519 DE Primary

Addresses

Primary practice location

19643 Blue Bird LN Unit 1
Rehoboth Beach, DE 19971-6129

Mailing address

19643 Blue Bird LN Unit 1
Rehoboth Beach, DE 19971-6129
Phone (302) 226-7960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 2, 2025 through Sep 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0011519DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Prestipinodds, LLC General Practice CurrentSince Aug 25, 2025 Accepting new patients

Locations

19643 Blue Bird Ln
Unit 1
Rehoboth Beach, DE 19971
Phone (302) 226-7960

Interoperability endpoints

  • Direct secure messaging: dprestipino21783@beebehealth.direct-ci.com

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": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1780264150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19643 BLUE BIRD LN UNIT 1",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716129",
            "telephone_number": "302-226-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19643 BLUE BIRD LN UNIT 1",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716129",
            "telephone_number": "302-542-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTIPINO",
        "first_name": "DOMINIC",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-10",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0011519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.