Individual provider Active NPI

Michael Wesley Whitecar, D.D.S.

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1134413446
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14927 Issued in MD
Practice address
8320 Bellona Ave Ste 110
Baltimore, MD 21204-2085
Phone
(410) 337-8909
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14927 MD Primary
General Practice Dentistry 1223G0001X 0401412907 VA

Addresses

Primary practice location

8320 Bellona Ave Ste 110
Baltimore, MD 21204-2085

Mailing address

8320 Bellona Ave Ste 110
Baltimore, MD 21204-2085
Phone (410) 337-8909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160721001443 PA Order and Referring Only - DentistPractitioner - Dentist 9739472275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401412907VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael W Whitecar, DDS, LLC General Practice CurrentSince Oct 5, 2021 Accepting new patients

Locations

8320 Bellona Ave
Ste 110
Towson, MD 21204
Phone (410) 337-8908

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1134413446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 BELLONA AVE STE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042085",
            "telephone_number": "410-337-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 BELLONA AVE STE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042085",
            "telephone_number": "410-337-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITECAR",
        "first_name": "MICHAEL",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14927",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.