NPIMap

Organization Active NPI

Baltimore Ave. Dental

  • Dentist
  • College Park, MD
National Provider Identifier
1144324773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3300 Issued in MD
Legal business name
BALTIMORE AVE. DENTAL
Practice address
7305 Baltimore Ave
Suite 205
College Park, MD 20740-3234
Phone
(301) 927-2500
Fax
(301) 927-2555
NPI assigned
Sep 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stanley Brager, DDS
Title
Dentist
Phone
(301) 927-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3300 MD Primary

Addresses

Primary practice location

7305 Baltimore Ave
Suite 205
College Park, MD 20740-3234

Mailing address

7305 Baltimore Ave
Suite 205
College Park, MD 20740-3234
Phone (301) 927-2500

National Provider Directory

National Provider Directory

Locations

7305 Baltimore Ave
Ste 205
College Park, MD 20740
Phone (301) 927-2500

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144324773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 BALTIMORE AVE",
            "address_2": "SUITE 205",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403234",
            "telephone_number": "301-927-2500",
            "fax_number": "301-927-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 BALTIMORE AVE",
            "address_2": "SUITE 205",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403234",
            "telephone_number": "301-927-2500",
            "fax_number": "301-927-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE AVE. DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAGER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-927-2500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "3300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.