Organization Active NPI

Gentle Care Family Dentistry

  • Dentist
  • Wilmington, DE
National Provider Identifier
1821226283
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G1-0001185 Issued in DE
Legal business name
GENTLE CARE FAMILY DENTISTRY
Practice address
1021 Gilpin Ave
Wilmington, DE 19806-3270
Phone
(302) 655-5862
Fax
(302) 655-5897
NPI assigned
Jun 24, 2009
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Dr. Marieve O Rodriguez, D.M.DNPI 1467546556
Title
Dentist
Phone
(302) 655-5862

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
Dentist 122300000X G1-0001185 DE Primary

Addresses

Primary practice location

1021 Gilpin Ave
Wilmington, DE 19806-3270

Mailing address

1021 Gilpin Ave
Wilmington, DE 19806-3270
Phone (302) 655-5862

Other identifiers 2

IdentifierTypeStateIssuer
001886759OtherDEUNITED CONCORDIA
1467546556MedicaidDE

National Provider Directory

National Provider Directory

Locations

1021 Gilpin Ave
Wilmington, DE 19806
Phone (302) 420-8282

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": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1821226283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 GILPIN AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063270",
            "telephone_number": "302-655-5862",
            "fax_number": "302-655-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 GILPIN AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063270",
            "telephone_number": "302-655-5862",
            "fax_number": "302-655-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIEVE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "302-655-5862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "001886759",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467546556",
            "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 24, 2009; 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.