Active NPI
Maya Alqueza Vernon, D.D.S.
- Pediatric Dentistry
- Severna Park, MD
National Provider Identifier
1154449098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12948
- Practice address
- 900 Ritchie Hwy
Suite 101
Severna Park, MD 21146-4142 - Phone
- (410) 544-4888
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12948 | MD | Primary |
Addresses
Primary practice location
900 Ritchie Hwy
Suite 101
Severna Park, MD 21146-4142
Mailing address
900 Ritchie Hwy
Suite 101
Severna Park, MD 21146-4142
Phone (410) 544-4888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12948 | MD | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maya a. Vernon, DDS, LLC | Pediatric Dentistry | 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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Severna Park, MD
- NPI 1699064550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1154449098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RITCHIE HWY",
"address_2": "SUITE 101",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464142",
"telephone_number": "410-544-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 RITCHIE HWY",
"address_2": "SUITE 101",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464142",
"telephone_number": "410-544-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "MAYA",
"middle_name": "ALQUEZA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "12948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.