Organization Active NPI

Crystal Clear Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilmington, DE
National Provider Identifier
1982302964
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CRYSTAL CLEAR ORTHODONTICS
Practice address
1805 Foulk Rd Ste Candd
Wilmington, DE 19810-3700
Phone
(917) 626-6920
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Authorized official

Name
Dr. Aesha Chaudhry, DMDNPI 1417087529
Title
Doctor
Phone
(917) 626-6920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1805 Foulk Rd Ste Candd
Wilmington, DE 19810-3700

Mailing address

1805 Foulk Rd Ste Candd
Wilmington, DE 19810-3700
Phone (917) 626-6920

National Provider Directory

National Provider Directory

Locations

1805 Foulk Rd
Wilmington, DE 19810
Phone (302) 412-9646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683936000000",
    "number": "1982302964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 FOULK RD STE CANDD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103700",
            "telephone_number": "917-626-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 FOULK RD STE CANDD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103700",
            "telephone_number": "917-626-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "AESHA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "917-626-6920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "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 May 13, 2023; 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.