NPIMap

Organization Active NPI

Eastern Shore Smile Solutions

  • Customized Equipment (DME)
  • Cambridge, MD
National Provider Identifier
1144523044
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
07519 Issued in MD
Legal business name
EASTERN SHORE SMILE SOLUTIONS
Practice address
17 Franklin St
Cambridge, MD 21613-1916
Phone
(410) 228-4191
Fax
(410) 228-0356
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Randall H. Hiers, DDSNPI 1407945587
Title
Dentist/Owner
Phone
(410) 228-4191

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 07519 MD Primary

Addresses

Primary practice location

17 Franklin St
Cambridge, MD 21613-1916

Mailing address

17 Franklin St
Cambridge, MD 21613-1916
Phone (410) 228-4191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1144523044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FRANKLIN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131916",
            "telephone_number": "410-228-4191",
            "fax_number": "410-228-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FRANKLIN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131916",
            "telephone_number": "410-228-4191",
            "fax_number": "410-228-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE SMILE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "HIERS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "410-228-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "07519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.