NPIMap

Organization Active NPI

Baycove Family and Cosmetic Dentistry LLC

  • Dentist
  • Severna Park, MD
National Provider Identifier
1023450681
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13157 Issued in MD
Legal business name
BAYCOVE FAMILY AND COSMETIC DENTISTRY LLC
Practice address
780 Ritchie Hwy
Suite S 30
Severna Park, MD 21146-4135
Phone
(410) 384-9030
NPI assigned
Jul 24, 2013
Last updated
Jul 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Joseph Z Benderson, DMD
Title
Owner
Phone
(410) 384-9030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13157 MD Primary

Addresses

Primary practice location

780 Ritchie Hwy
Suite S 30
Severna Park, MD 21146-4135

Mailing address

780 Ritchie Hwy
Suite S 30
Severna Park, MD 21146-4135
Phone (410) 384-9030

National Provider Directory

National Provider Directory

Locations

780 Ritchie Hwy
Ste S30
Severna Park, MD 21146
Phone (410) 384-9030

Practitioners & affiliated clinicians

Practitioners 3

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": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1023450681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 RITCHIE HWY",
            "address_2": "SUITE S 30",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464135",
            "telephone_number": "410-384-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 RITCHIE HWY",
            "address_2": "SUITE S 30",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464135",
            "telephone_number": "410-384-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCOVE FAMILY AND COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "BENDERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-384-9030",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.