Organization Active NPI

Dale R Collins D.D.S., P.a.

  • Pediatric Dentistry
  • Wilmington, DE
National Provider Identifier
1801938956
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
G1-0000748 Issued in DE
Legal business name
DALE R COLLINS D.D.S., P.A.
Practice address
5500 Skyline Dr
Suite 3
Wilmington, DE 19808-1772
Phone
(302) 239-3655
Fax
(302) 239-3661
NPI assigned
Feb 13, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dale R Collins, D.D.S.NPI 1629166269
Title
Dentist
Phone
(302) 239-6125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X G1-0000748 DE Primary

Addresses

Primary practice location

5500 Skyline Dr
Suite 3
Wilmington, DE 19808-1772

Mailing address

5500 Skyline Dr
Suite 3
Wilmington, DE 19808-1772
Phone (302) 239-3655

Other identifiers 1

IdentifierTypeStateIssuer
100034646MedicaidDE

National Provider Directory

National Provider Directory

Locations

5500 Skyline Dr
Ste 3
Wilmington, DE 19808
Phone (302) 239-3655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1801938956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SKYLINE DR",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081772",
            "telephone_number": "302-239-3655",
            "fax_number": "302-239-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SKYLINE DR",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081772",
            "telephone_number": "302-239-3655",
            "fax_number": "302-239-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE R COLLINS D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "302-239-6125",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DE",
            "license": "G1-0000748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100034646",
            "state": "DE"
        }
    ],
    "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 Jun 16, 2008; 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.