Individual provider Active NPI

David William Deveas, D.D.S.

  • General Practice Dentistry
  • Towson, MD
National Provider Identifier
1134516842
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11026 Issued in MD
Practice address
406 Allegheny Ave
Towson, MD 21204-4223
Phone
(410) 825-8708
Fax
(410) 825-8709
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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 11026 MD Primary

Addresses

Primary practice location

406 Allegheny Ave
Towson, MD 21204-4223

Mailing address

406 Allegheny Ave
Towson, MD 21204-4223
Phone (410) 825-8708

Other identifiers 1

IdentifierTypeStateIssuer
1356407225OtherINSTITUTIONAL NPI NUMBER ORIGINALLY GIVEN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11026MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David William Deveas DDS General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1134516842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ALLEGHENY AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044223",
            "telephone_number": "410-825-8708",
            "fax_number": "410-825-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ALLEGHENY AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044223",
            "telephone_number": "410-825-8708",
            "fax_number": "410-825-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEAS",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL NPI NUMBER ORIGINALLY GIVEN",
            "identifier": "1356407225",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.