Active NPI
Matthew R Baran
- Dentist
- Wilmington, DE
National Provider Identifier
1801189212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- G1-0001320
- Practice address
- 5317 Limestone Rd
Wilmington, DE 19808-1252 - Phone
- (302) 239-0502
- NPI assigned
- May 17, 2011
- Last updated
- Oct 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | G1-0001320 | DE | Primary |
Addresses
Primary practice location
5317 Limestone Rd
Wilmington, DE 19808-1252
Mailing address
5317 Limestone Rd
Wilmington, DE 19808-1252
Phone (302) 239-0502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150313001937 | DE | Order and Referring Only - Dentist | 9335465103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1801189212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5317 LIMESTONE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081252",
"telephone_number": "302-239-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5317 LIMESTONE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081252",
"telephone_number": "302-239-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAN",
"first_name": "MATTHEW",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DE",
"license": "G1-0001320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.