Active NPI
Dale R Collins D.D.S., P.a.
- Pediatric Dentistry
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- G1-0000748
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100034646 | Medicaid | DE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Wilmington, DE
- NPI 1629166269
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.