NPIMap

Organization Active NPI

Odenton Station Dental

  • Dentist
  • Odenton, MD
National Provider Identifier
1083006951
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12921 Issued in MD
Legal business name
ODENTON STATION DENTAL
Practice address
1110 Town Center Blvd Ste H
Odenton, MD 21113-1232
Phone
(410) 874-2222
Fax
(443) 856-2745
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
April Calton, D.D.S.
Title
Owner
Phone
(410) 874-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12921 MD Primary

Addresses

Primary practice location

1110 Town Center Blvd Ste H
Odenton, MD 21113-1232

Mailing address

1110 Town Center Blvd Ste H
Odenton, MD 21113-1232
Phone (410) 874-2222

National Provider Directory

National Provider Directory

Locations

1110 Town Center Blvd
Ste H
Odenton, MD 21113
Phone (410) 874-2222

Practitioners & affiliated clinicians

Practitioners 2

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": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1083006951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 TOWN CENTER BLVD STE H",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131232",
            "telephone_number": "410-874-2222",
            "fax_number": "443-856-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 TOWN CENTER BLVD STE H",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131232",
            "telephone_number": "410-874-2222",
            "fax_number": "443-856-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODENTON STATION DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "CALTON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-874-2222",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.