Kimberly Marie Ford, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MD12184 Issued in MD

Practice address

3505 Ellicott Mills Dr
B2
Ellicott City, MD 21043-4500

Phone

(410) 461-3311

Fax

(410) 750-7348

NPI assigned

Aug 15, 2011

Last updated

Aug 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly Marie Ford, DDS, LLC

  dba Ellicott Mills Dental

  • Dental Clinic/Center
  • Ellicott City, MD
  • NPI 1093287211
  NPD (past) Authorized official
• Steven H. Becker, D.D.S., P.a.

  • General Practice Dentistry
  • Ellicott City, MD
  • NPI 1831243773
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1023397502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 ELLICOTT MILLS DR",
            "address_2": "B2",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434500",
            "telephone_number": "410-461-3311",
            "fax_number": "410-750-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 ELLICOTT MILLS DR",
            "address_2": "B2",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434500",
            "telephone_number": "410-461-3311",
            "fax_number": "410-750-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD12184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Food and Care for All Inc
• D. Lynn Foote, CMT
• Fortress Global Solutions LLC
• Alisa Michelle Foster, GNA
• Megan Fox, MS CF-SLP
• Joshua M Foy, PSYD
• Michael A Franchetti, MD

• General Practice Dentistry in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.