Active NPI
Michael Bruce Lipman, DDS
- General Practice Dentistry
- Elkton, MD
National Provider Identifier
1053415331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 06700
- Practice address
- 2204 Singerly Rd
Elkton, MD 21921 - Phone
- (410) 398-3833
- Fax
- (410) 392-9099
- NPI assigned
- Sep 8, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 06700 | MD | Primary |
Addresses
Primary practice location
2204 Singerly Rd
Elkton, MD 21921
Mailing address
2204 Singerly Rd
Elkton, MD 21921
Phone (410) 398-3833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF84 | Other | MD | CARE FIRST BCBS |
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 |
|---|---|---|---|
| 06700 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Lipman LLC | General Practice | Past | Accepting new patients |
| Dr. Alina Rodek DDS, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Elkton, MD
- NPI 1770659310
-
- Dentist
- Elkton, MD
- NPI 1649613340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053415331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 SINGERLY RD",
"city": "ELKTON",
"state": "MD",
"postal_code": "21921",
"telephone_number": "410-398-3833",
"fax_number": "410-392-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 SINGERLY RD",
"city": "ELKTON",
"state": "MD",
"postal_code": "21921",
"telephone_number": "410-398-3833",
"fax_number": "410-392-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPMAN",
"first_name": "MICHAEL",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "06700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BCBS",
"identifier": "DF84",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkton, 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.