Mishpacha Dental

Primary specialty

DentistTaxonomy code 122300000X

License

13117 Issued in MD

Legal business name

MISHPACHA DENTAL

Practice address

3635 Old Court Rd
Baltimore, MD 21208-3915

Phone

(410) 484-2717

Fax

(443) 519-4078

NPI assigned

Oct 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rubeena Hosain, D.M.D

Title

Dentist

Phone

(410) 484-2717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1023446184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083915",
            "telephone_number": "410-484-2717",
            "fax_number": "443-519-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083915",
            "telephone_number": "410-484-2717",
            "fax_number": "443-519-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHPACHA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "HOSAIN",
        "authorized_official_first_name": "RUBEENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-484-2717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Misak, MD
• Misha House, LLC
• Omar Samer Mishael, M.D.
• Edward Barry Mishner, M.D.
• Mark Mishory
• Mishpacha Refuah, LLC
• Shelly Mishra, MD
• Hollis M Misiewicz, MSN, CRNP
• Helena Miskowski
• Megan Miskowski, CCC-SLP

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.