Active NPI
William John Mislowsky, DDS
- Periodontics
- Lutherville, MD
National Provider Identifier
1043321235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 4352
- Practice address
- 1134 York Road
#209
Lutherville, MD 21093-6204 - Phone
- (410) 321-8837
- Fax
- (410) 321-6734
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 4352 | MD | Primary |
Addresses
Primary practice location
1134 York Road
#209
Lutherville, MD 21093-6204
Mailing address
1134 York Road
#209
Lutherville, MD 21093-6204
Phone (410) 321-8837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4352 | MD | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043321235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 YORK ROAD",
"address_2": "#209",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936204",
"telephone_number": "410-321-8837",
"fax_number": "410-321-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 YORK ROAD",
"address_2": "#209",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936204",
"telephone_number": "410-321-8837",
"fax_number": "410-321-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISLOWSKY",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "4352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.