Active NPI
Tracy Stein
- Dentist
- Owings Mills, MD
National Provider Identifier
1053561225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14383
- Practice address
- 20 Crossroads Dr
Ste 110
Owings Mills, MD 21117-5419 - Phone
- (410) 363-2500
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14383 | MD | Primary |
Addresses
Primary practice location
20 Crossroads Dr
Ste 110
Owings Mills, MD 21117-5419
Mailing address
11803 Berans Rd
Lutherville, MD 21093-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 2, 2019 through Apr 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14383 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC Donogh Dental Associates LLP | Dentist | Past | Accepting new patients |
| Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 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.
-
dba McDonogh Dental
- Dentist
- Owings Mills, MD
- NPI 1609734995
-
- Dentist
- Owings Mills, MD
- NPI 1538131263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1053561225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 BERANS RD",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210931502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CROSSROADS DR",
"address_2": "STE 110",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175419",
"telephone_number": "410-363-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "TRACY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.