Active NPI
Marvin Baer, DDS
- Prosthodontics
- Fallston, MD
National Provider Identifier
1083757157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 9195
- Practice address
- 2106 Fallston Rd
Fallston, MD 21047-1442 - Phone
- (410) 893-0513
- NPI assigned
- Feb 15, 2007
- Last updated
- Mar 16, 2016
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 9195 | MD | Primary |
Addresses
Primary practice location
2106 Fallston Rd
Fallston, MD 21047-1442
Mailing address
2605 Gunpowder Farms Rd
Fallston, MD 21047-2205
Phone (410) 877-3567
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fallston Dental Care | Past | Accepting new patients | |
| Matthew E Winter DDS PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Fallston, MD
- NPI 1013033505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1083757157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 GUNPOWDER FARMS RD",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472205",
"telephone_number": "410-877-3567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 FALLSTON RD",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210471442",
"telephone_number": "410-893-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAER",
"first_name": "MARVIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MD",
"license": "9195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fallston, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.