NPIMap

Organization Active NPI

Dimitrios Garefalakis DDS PA

  • Dental Clinic/Center
  • Baltimore, MD
National Provider Identifier
1043395205
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12207 Issued in MD
Legal business name
DIMITRIOS GAREFALAKIS DDS PA
Practice address
4134 E Joppa Rd
Suite 104&105
Baltimore, MD 21236-2284
Phone
(410) 256-3371
Fax
(410) 256-6848
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Dr. Dimitrios Garefalakis, D.D.SNPI 1427267947
Title
Owner
Phone
(410) 256-3371

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12207 MD Primary

Addresses

Primary practice location

4134 E Joppa Rd
Suite 104&105
Baltimore, MD 21236-2284

Mailing address

4134 E Joppa Rd
Suite 104&105
Baltimore, MD 21236-2284
Phone (410) 256-3371

Other names 1

  • Nottingham Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4134 E Joppa Rd
Ste 104105
Baltimore, MD 21236
Phone (410) 256-3371

Practitioners & affiliated clinicians

Practitioners 1

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1043395205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 E JOPPA RD",
            "address_2": "SUITE 104&105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362284",
            "telephone_number": "410-256-3371",
            "fax_number": "410-256-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 E JOPPA RD",
            "address_2": "SUITE 104&105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362284",
            "telephone_number": "410-256-3371",
            "fax_number": "410-256-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRIOS GAREFALAKIS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "GAREFALAKIS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-256-3371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nottingham Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.