Active NPI
Patrick F Sweeney III, D.M.D.
- Dentist
- Wilmington, DE
National Provider Identifier
1891917266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1057
- Practice address
- 1700 Shallcross Ave Ste 2
Wilmington, DE 19806-2344 - Phone
- (302) 658-7200
- Fax
- (302) 658-7500
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1057 | DE | Primary |
Addresses
Primary practice location
1700 Shallcross Ave Ste 2
Wilmington, DE 19806-2344
Mailing address
1700 Shallcross Ave Ste 2
Wilmington, DE 19806-2344
Phone (302) 658-7200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202289843 | Other | DE | DELTA DENTAL |
| 65978 | Other | DE | MET LIFE |
| 2753 | Other | DE | DOMINION |
| 513299 | Other | DE | AETNA |
| 102485 | Other | DE | UNITED CONCORDIA |
| 023666 | Other | DE | DELTA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1057 | DE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1891917266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 SHALLCROSS AVE STE 2",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198062344",
"telephone_number": "302-658-7200",
"fax_number": "302-658-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 SHALLCROSS AVE STE 2",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198062344",
"telephone_number": "302-658-7200",
"fax_number": "302-658-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "PATRICK",
"middle_name": "F",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DE",
"license": "1057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "202289843",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MET LIFE",
"identifier": "65978",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOMINION",
"identifier": "2753",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "513299",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "102485",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "023666",
"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 Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.