NPIMap

Organization Active NPI

Baltimore Dental, LLC

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1063612935
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BALTIMORE DENTAL, LLC
Practice address
4000 Old Court Rd
Suite 302
Baltimore, MD 21208-2800
Phone
(410) 764-3363
Fax
(410) 764-0624
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Dr. Joseph R Feinsod, DMD
Title
President
Phone
(410) 764-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4000 Old Court Rd
Suite 302
Baltimore, MD 21208-2800

Mailing address

4000 Old Court Rd
Suite 302
Baltimore, MD 21208-2800
Phone (410) 764-3363

National Provider Directory

National Provider Directory

Locations

4000 Old Court Rd
Ste 302
Pikesville, MD 21208
Phone (410) 654-0052

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1063612935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "SUITE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212082800",
            "telephone_number": "410-764-3363",
            "fax_number": "410-764-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "SUITE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212082800",
            "telephone_number": "410-764-3363",
            "fax_number": "410-764-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "FEINSOD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-764-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Dec 4, 2014; 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.