Rudolph Hickman, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

05880 Issued in MD

Practice address

200 Rosewood LN
Owings Mills, MD 21117-3709

Phone

(410) 951-5083

Fax

(410) 951-5082

NPI assigned

Aug 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comptroller of Maryland Central Payroll Bureau

  • Psychiatric Hospital Unit
  • Catonsville, MD
  • NPI 1962493403
  NPD (past)
• Rosewood Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Owings Mills, MD
  • NPI 1558355206
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1093971780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROSEWOOD LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173709",
            "telephone_number": "410-951-5083",
            "fax_number": "410-951-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROSEWOOD LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173709",
            "telephone_number": "410-951-5083",
            "fax_number": "410-951-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "05880",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MD",
            "license": "05880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Her Mind Her Body, LLC
• Valerie Hernandez, LMSW
• Hero Endodontics
• Renee M Herold, MS, OTR/L
• Lauren Herron, LCSW-C
• Donna Jean Hickson, DPT
• Elias Mosiah Toussaint Hilaire
• Kristian Hill
• Hilltop Recovery Center
• Elizabeth Himmer, PA

• Public Health Dentistry in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Public Health Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.