NPIMap

Organization Active NPI

Ousborne and Keller, D.D.S., P.a.

  • Dentist
  • Towson, MD
National Provider Identifier
1013024116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11305 Issued in MD
Legal business name
OUSBORNE AND KELLER, D.D.S., P.A.
Doing business as
Ousborne & Keller, D.D.S., P.A.
Practice address
21 West Rd
104
Towson, MD 21204-2325
Phone
(410) 828-1177
Fax
(410) 828-1252
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Albert Louis Ousborne Jr., D.D.S.NPI 1932216108
Title
President/Dentist
Phone
(410) 828-1177

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3988 MD
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5771 MD
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 11305 MD Primary

Addresses

Primary practice location

21 West Rd
104
Towson, MD 21204-2325

Mailing address

21 West Rd
104
Towson, MD 21204-2325
Phone (410) 828-1177

Other names 1

  • Ousborne & Keller, D.D.S., P.A. Doing business as

National Provider Directory

National Provider Directory

Locations

21 West Rd
Ste 104
Towson, MD 21204
Phone (410) 828-1177

Practitioners & affiliated clinicians

Practitioners 4

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013024116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WEST RD",
            "address_2": "104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042325",
            "telephone_number": "410-828-1177",
            "fax_number": "410-828-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WEST RD",
            "address_2": "104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042325",
            "telephone_number": "410-828-1177",
            "fax_number": "410-828-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUSBORNE AND KELLER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OUSBORNE",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "410-828-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "3988",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "5771",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "11305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ousborne & Keller, D.D.S., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.