Nicole Agneris Esquilin

Primary specialty

DentistTaxonomy code 122300000X

License

17100 Issued in MD

Practice address

2700 Lighthouse PT E Ste 210
Baltimore, MD 21224-4773

Phone

(410) 675-3300

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Emily Lin, DMD, Ma, PC

  dba Canton Dental Associates

  • Dentist
  • Baltimore, MD
  • NPI 1700203320
  NPD (past)
• Jerry a Kilian's Canton Dental Associates PA

  dba Canton Dental Associates

  • Dentist
  • Baltimore, MD
  • NPI 1891030078
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1104386556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MOUNT ROYAL AVE APT 905",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212028114",
            "telephone_number": "787-379-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LIGHTHOUSE PT E STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244773",
            "telephone_number": "410-675-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUILIN",
        "first_name": "NICOLE",
        "middle_name": "AGNERIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "17100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana Layla Espinoza
• Vanessa Vivyanne Espinoza, BSN, RN, CCRN-CSC
• Stephanie B Esposita, M.D.
• Avia Marie Esposito, PA-C
• Emily Esposito, D.O.
• Genesis Esquivel
• Hodaya Esrig, DPT
• France-Suzy E Essagson
• Pawa Essame
• Eugene Kofi Essandoh, M.D.

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.