NPIMap

Individual provider Active NPI

Carolyn Barclay Mazikas

  • Dentist
  • Towson, MD
National Provider Identifier
1083967947
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3993 Issued in MD
Practice address
660 Kenilworth Dr
#205
Towson, MD 21204-2354
Phone
(410) 823-1005
Fax
(410) 825-2219
NPI assigned
Oct 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3993 MD Primary

Addresses

Primary practice location

660 Kenilworth Dr
#205
Towson, MD 21204-2354

Mailing address

660 Kenilworth Dr
#205
Towson, MD 21204-2354
Phone (410) 823-1005

Other names 1

  • Dr. Carolyn Elizabeth Barclay Professional name

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

State licenses

LicenseStateTypeSpecialty
3993MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mazikas&Barclay Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1083967947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 KENILWORTH DR",
            "address_2": "#205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042354",
            "telephone_number": "410-823-1005",
            "fax_number": "410-825-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KENILWORTH DR",
            "address_2": "#205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042354",
            "telephone_number": "410-823-1005",
            "fax_number": "410-825-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZIKAS",
        "first_name": "CAROLYN",
        "middle_name": "BARCLAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "3993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BARCLAY",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.