Organization Active NPI

Delmarva Rural Ministries, Inc.

  • Dentist
  • Dover, DE
National Provider Identifier
1972645653
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DELMARVA RURAL MINISTRIES, INC.
Practice address
1095 S Bradford St
Dover, DE 19904-4141
Phone
(302) 678-2000
Fax
(302) 346-0181
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Authorized official

Name
Ms. Lou Ann Vanderwende
Title
Patient Account Coordinator
Phone
(302) 678-3652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1095 S Bradford St
Dover, DE 19904-4141

Mailing address

26 Wyoming Ave
Dover, DE 19904-6922
Phone (302) 678-3652

Other identifiers 1

IdentifierTypeStateIssuer
1000025972MedicaidDE

National Provider Directory

National Provider Directory
Tax ID family
Delmarva Rural Ministries Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1972645653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WYOMING AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046922",
            "telephone_number": "302-678-3652",
            "fax_number": "302-678-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 S BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044141",
            "telephone_number": "302-678-2000",
            "fax_number": "302-346-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA RURAL MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "VANDERWENDE",
        "authorized_official_first_name": "LOU ANN",
        "authorized_official_title_or_position": "PATIENT ACCOUNT COORDINATOR",
        "authorized_official_telephone_number": "302-678-3652",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000025972",
            "state": "DE"
        }
    ],
    "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 Aug 3, 2007; 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.