NPIMap

Organization Active NPI

Essex Dental Group LLC

  • Dentist
  • Baltimore, MD
National Provider Identifier
1053755900
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14477 Issued in MD
Legal business name
ESSEX DENTAL GROUP LLC
Practice address
6058 Rossville Blvd
Baltimore, MD 21221-3158
Phone
(410) 391-3801
NPI assigned
Apr 22, 2013
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dr. Alexander Cho, D.D.S.NPI 1699904367
Title
Owner
Phone
(443) 676-1503

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13401 MD
Dentist 122300000X 14477 MD Primary

Addresses

Primary practice location

6058 Rossville Blvd
Baltimore, MD 21221-3158

Mailing address

9500 Sidebrook Rd
#402
Owings Mills, MD 21117-7593

National Provider Directory

National Provider Directory

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": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1053755900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 SIDEBROOK RD",
            "address_2": "#402",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6058 ROSSVILLE BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212213158",
            "telephone_number": "410-391-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-676-1503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13401",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 22, 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.