Active NPI
Kaitlin Anna Chrobocinski, DMD
- Periodontics
- Wilmington, DE
National Provider Identifier
1932666930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- G1-0011529
- Practice address
- 1110 N Bancroft Pkwy Ste 1
Wilmington, DE 19805-2669 - Phone
- (302) 658-7871
- NPI assigned
- Feb 26, 2019
- Last updated
- Sep 6, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | G1-0011529 | DE | Primary |
Addresses
Primary practice location
1110 N Bancroft Pkwy Ste 1
Wilmington, DE 19805-2669
Mailing address
1110 N Bancroft Pkwy Ste 1
Wilmington, DE 19805-2669
Phone (302) 658-7871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 25, 2024 through Jan 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0011529 | DE | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1932666930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N BANCROFT PKWY STE 1",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052669",
"telephone_number": "302-658-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N BANCROFT PKWY STE 1",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052669",
"telephone_number": "302-658-7871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHROBOCINSKI",
"first_name": "KAITLIN",
"middle_name": "ANNA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "DE",
"license": "G1-0011529",
"primary": true
}
],
"identifiers": [],
"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 Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.