Active NPI
Osei Clarke, D.D.S
- Dentist
- Bowie, MD
National Provider Identifier
1104073683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12863
- Practice address
- 3060 Mitchellville Rd
Suite 213
Bowie, MD 20716-1389 - Phone
- (301) 249-1841
- Fax
- (301) 249-4851
- NPI assigned
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12863 | MD | Primary |
Addresses
Primary practice location
3060 Mitchellville Rd
Suite 213
Bowie, MD 20716-1389
Mailing address
3060 Mitchellville Rd
Suite 213
Bowie, MD 20716-1389
Phone (301) 249-1841
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12863 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1104073683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 MITCHELLVILLE RD",
"address_2": "SUITE 213",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161389",
"telephone_number": "301-249-1841",
"fax_number": "301-249-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 MITCHELLVILLE RD",
"address_2": "SUITE 213",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161389",
"telephone_number": "301-249-1841",
"fax_number": "301-249-4851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "OSEI",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.