Active NPI
Patrick Joseph Costello, D.D.S.
- Prosthodontics
- Wilmington, DE
National Provider Identifier
1992892657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS027528C
- Practice address
- 1601 Kirkwood Highway
Wilmington, DE 19805 - Phone
- (302) 633-5283
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS027528C | PA | Primary |
Addresses
Primary practice location
1601 Kirkwood Highway
Wilmington, DE 19805
Mailing address
135 Dowlin Forge Road
Downingtown, PA 19335
Phone (610) 873-9167
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992892657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 DOWLIN FORGE ROAD",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "19335",
"telephone_number": "610-873-9167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 KIRKWOOD HIGHWAY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19805",
"telephone_number": "302-633-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS027528C",
"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 Jul 8, 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.