Individual provider Active NPI

Alexandra Forest, DDS

  • General Acute Care Hospital
  • Baltimore, MD
National Provider Identifier
1093120107
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Practice address
8 Charles PLZ Apt 1108
Baltimore, MD 21201-4219
Phone
(734) 730-7825
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

8 Charles PLZ Apt 1108
Baltimore, MD 21201-4219

Mailing address

8 Charles PLZ Apt 1108
Baltimore, MD 21201-4219
Phone (734) 730-7825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 26, 2021 through May 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16283MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1093120107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHARLES PLZ APT 1108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014219",
            "telephone_number": "734-730-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CHARLES PLZ APT 1108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014219",
            "telephone_number": "734-730-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREST",
        "first_name": "ALEXANDRA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.