NPIMap

Organization Active NPI

Andrew I Pupkin DDS PA

  • Dentist
  • Owings Mills, MD
National Provider Identifier
1003960998
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10171 Issued in MD
Legal business name
ANDREW I PUPKIN DDS PA
Practice address
21 Crossroads Dr
Suite 350
Owings Mills, MD 21117
Phone
(410) 581-1411
Fax
(410) 581-2925
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Andrew I Pupkin, DDSNPI 1104168384
Title
Owner
Phone
(410) 581-1411

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10171 MD Primary

Addresses

Primary practice location

21 Crossroads Dr
Suite 350
Owings Mills, MD 21117

Mailing address

21 Crossroads Dr
Suite 350
Owings Mills, MD 21117
Phone (410) 581-1411

National Provider Directory

National Provider Directory

Locations

21 Crossroads Dr
Ste 350
Owings Mills, MD 21117
Phone (410) 581-1411

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1003960998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR",
            "address_2": "SUITE 350",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-581-1411",
            "fax_number": "410-581-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR",
            "address_2": "SUITE 350",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-581-1411",
            "fax_number": "410-581-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW I PUPKIN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "PUPKIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-581-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "10171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.