Individual provider Active NPI

Adam Craig Sydell, D.M.D

  • Dentist
  • Dover, DE
National Provider Identifier
1841467586
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G1-0001281 Issued in DE
Practice address
77 Saulsbury Rd
Dover, DE 19904-3444
Phone
(302) 678-2942
Fax
(302) 678-2294
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 100123785 SC
Dentist 122300000X G1-0001281 DE Primary

Addresses

Primary practice location

77 Saulsbury Rd
Dover, DE 19904-3444

Mailing address

77 Saulsbury Rd
Dover, DE 19904-3444
Phone (302) 678-2942

Other practice location 1

524 Union St
Milton, DE 19968-1016
Phone (302) 684-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001281DEMDDentist
100123785SCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Dental Associates Dentist Past Accepting new patients
Mercer Dental Associates Dentist Past Accepting new patients

Organizations & group practices 2

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1841467586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043444",
            "telephone_number": "302-678-2942",
            "fax_number": "302-678-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043444",
            "telephone_number": "302-678-2942",
            "fax_number": "302-678-2294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Union St",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "DE",
            "postal_code": "199681016",
            "country_code": "US",
            "telephone_number": "302-684-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYDELL",
        "first_name": "ADAM",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "100123785",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.