NPIMap

Organization Active NPI

Calvert Memorial Hospital of Calvert County

Doing business as Calvert Community Dental Care - Lusby

  • Public Health Dentistry
  • Lusby, MD
National Provider Identifier
1154655884
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
04-001 Issued in MD
Legal business name
CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY
Doing business as
Calvert Community Dental Care - Lusby
Practice address
11840 HG Trueman Rd
Lusby, MD 20657-2999
Phone
(410) 535-8402
Fax
(410) 535-8397
NPI assigned
Sep 29, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CALVERT HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Mr. James J Xinis
Title
President/Ceo
Phone
(410) 535-8239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 04-001 MD Primary

Addresses

Primary practice location

11840 HG Trueman Rd
Lusby, MD 20657-2999

Mailing address

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-8402

Other names 1

  • Calvert Community Dental Care - Lusby Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Calverthealth Med Ctr Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11840 Hg Trueman Rd
Lusby, MD 20657
Phone (410) 535-8402

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1154655884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-535-8402",
            "fax_number": "410-535-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 HG TRUEMAN RD",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206572999",
            "telephone_number": "410-535-8402",
            "fax_number": "410-535-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALVERT HEALTH SYSTEM, INC.",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "XINIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-535-8239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MD",
            "license": "04-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvert Community Dental Care - Lusby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lusby, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.