Individual provider Active NPI

Mary F Bean, D.D.S.

  • General Practice Dentistry
  • Lutherville, MD
National Provider Identifier
1104826437
Registry record updated Jun 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6932 Issued in MD
Practice address
1212 York Rd
Suite a 301
Lutherville, MD 21093-6240
Phone
(410) 828-7154
Fax
(410) 821-7154
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6932 MD Primary

Addresses

Primary practice location

1212 York Rd
Suite a 301
Lutherville, MD 21093-6240

Mailing address

1212 York Rd
Suite a 301
Lutherville, MD 21093-6240
Phone (410) 828-7154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112000456 MD Order and Referring Only - DentistPractitioner - Dentist 5193027902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212278400000",
    "number": "1104826437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 YORK RD",
            "address_2": "SUITE A 301",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936240",
            "telephone_number": "410-828-7154",
            "fax_number": "410-821-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 YORK RD",
            "address_2": "SUITE A 301",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936240",
            "telephone_number": "410-828-7154",
            "fax_number": "410-821-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "MARY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.