Active NPI
Dental Sleep Solutions of Maryland
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lutherville, MD
National Provider Identifier
1124518089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5916
- Legal business name
- DENTAL SLEEP SOLUTIONS OF MARYLAND
- Practice address
- 1407 York Rd Ste 204
Lutherville, MD 21093-6042 - Phone
- (410) 821-5079
- Fax
- (410) 321-1610
- NPI assigned
- May 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin T Lang, DDS
- Title
- Owner
- Phone
- (410) 821-5079
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5916 | MD | Primary |
Addresses
Primary practice location
1407 York Rd Ste 204
Lutherville, MD 21093-6042
Mailing address
1407 York Rd Ste 204
Lutherville, MD 21093-6042
Phone (410) 821-5079
Other practice location 1
10030 Baltimore National Pike Ste D120
Ellicott City, MD 21042-3608
Phone (410) 461-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461474700 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
10030 Baltimore National Pike
Ste D120
Ellicott City, MD 21042
Phone (410) 461-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539043200000",
"number": "1124518089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 YORK RD STE 204",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936042",
"telephone_number": "410-821-5079",
"fax_number": "410-321-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 YORK RD STE 204",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936042",
"telephone_number": "410-821-5079",
"fax_number": "410-321-1610"
}
],
"practiceLocations": [
{
"address_1": "10030 Baltimore National Pike Ste D120",
"address_purpose": "LOCATION",
"city": "Ellicott City",
"state": "MD",
"postal_code": "210423608",
"country_code": "US",
"telephone_number": "410-461-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DENTAL SLEEP SOLUTIONS OF MARYLAND",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-16",
"last_updated": "2018-10-09",
"status": "A",
"authorized_official_last_name": "LANG",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-821-5079",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "5916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "461474700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.