Individual provider Active NPI

David E Mastrota, DMD

  • Dentist
  • Wilmington, DE
National Provider Identifier
1891045944
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G10001020 Issued in DE
Practice address
2215 Pennsylvania Ave
Wilmington, DE 19806-2443
Phone
(302) 654-0100
Fax
(302) 656-3235
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X G10001020 DE Primary

Addresses

Primary practice location

2215 Pennsylvania Ave
Wilmington, DE 19806-2443

Mailing address

2215 Pennsylvania Ave
Wilmington, DE 19806-2443
Phone (302) 654-0100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612001219 DE Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4486965779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G10001020DEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
David E. Mastrota, DMD,PA Past Accepting new patients

Organizations & group practices 1

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1891045944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 PENNSYLVANIA AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062443",
            "telephone_number": "302-654-0100",
            "fax_number": "302-656-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 PENNSYLVANIA AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062443",
            "telephone_number": "302-654-0100",
            "fax_number": "302-656-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROTA",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.