DELAWARE
NPI 1366167835
General Practice in Wilmington, DE

Active since October 07, 2022
1000 N WEST ST STE 1200, WILMINGTON, DE 19801(657) 400-5180 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Delaware NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELAWARE (NPI 1366167835) is a healthcare organization registered as a general practice in Wilmington, Delaware and active in the NPI registry since October 2022. The organization lists Christopher Dennis, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1366167835
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLANDMARK MEDICAL OF TENNESSEE PC
Location Address1000 N WEST ST STE 1200Wilmington, DE 19801-1058
Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152
Organization SubpartNo
Authorized OfficialChristopher DennisChief Medical Officer · (657) 400-5180
Enumeration DateOctober 7, 2022
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1366167835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1000 N WEST ST STE 1200, Wilmington, DE 19801

Other Names 1

Other NameDelaware

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2149137

Delaware Hiv Services · Wilmington, DE
Expired · May 24, 2026
CLIA Number08D2149137
Laboratory TypeCommunity Based Organizat
Certificate Effective DateMay 25, 2024
Certificate Expiration DateMay 24, 2026
Laboratory DirectorPeter H. Houle
Laboratory Phone(302) 654-5471
Laboratory LocationDelaware Hiv Services100 West 10th Street, Suite 415, Wilmington, DE 19801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Neuromuscular Medicine)
1000 N WEST ST STE 1200
WILMINGTON, DE 19801
Durable Medical Equipment & Medical Supplies
1000 N WEST ST STE 1200
WILMINGTON, DE 19801
Durable Medical Equipment & Medical Supplies
1000 N WEST ST STE 1200
WILMINGTON, DE 19801
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N WEST ST STE 1200
WILMINGTON, DE 19801
Nurse Practitioner (Family)
1000 N WEST ST STE 1200
WILMINGTON, DE 19801
Behavior Technician
1000 N WEST ST STE 1200
WILMINGTON, DE 19801
Technician, Pathology (Phlebotomy)
1000 N WEST ST STE 1200
WILMINGTON, DE 19801
Behavior Technician
1000 N WEST ST STE 1200
WILMINGTON, DE 19801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366167835, enumerated as an "organization" on October 07, 2022.

The provider is located at 1000 N WEST ST STE 1200 WILMINGTON, DE 19801 and the phone number is (657) 400-5180.

General Practice with taxonomy code 208D00000X.