NPIMap

Organization Active NPI

DRS. Delgado & Stanek, P.a.

  • Endodontics
  • Baltimore, MD
National Provider Identifier
1124126537
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8801 Issued in MD
Legal business name
DRS. DELGADO & STANEK, P.A.
Practice address
1006 Ingleside Ave
Baltimore, MD 21228-1317
Phone
(410) 747-1707
Fax
(410) 747-2608
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
George Patricio Delgado, D.D.S.NPI 1093818197
Title
President
Phone
(410) 747-1707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 5889 MD
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 8801 MD Primary

Addresses

Primary practice location

1006 Ingleside Ave
Baltimore, MD 21228-1317

Mailing address

1006 Ingleside Ave
Baltimore, MD 21228-1317
Phone (410) 747-1707

Other identifiers 1

IdentifierTypeStateIssuer
08072006288680OtherMDDENTIST

National Provider Directory

National Provider Directory

Locations

1006 Ingleside Ave
Catonsville, MD 21228
Phone (410) 747-1707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1124126537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 INGLESIDE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281317",
            "telephone_number": "410-747-1707",
            "fax_number": "410-747-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 INGLESIDE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281317",
            "telephone_number": "410-747-1707",
            "fax_number": "410-747-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. DELGADO & STANEK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PATRICIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-747-1707",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "5889",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "8801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "08072006288680",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.