NPIMap

Organization Active NPI

Smiledmd of Maryland, LLC

Doing business as Owings Mills Dental Care

  • General Practice Dentistry
  • Owings Mills, MD
National Provider Identifier
1154690501
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13225 Issued in MD
Legal business name
SMILEDMD OF MARYLAND, LLC
Doing business as
Owings Mills Dental Care
Practice address
90 Painters Mill Rd
Suite 130
Owings Mills, MD 21117-3630
Phone
(410) 363-7374
Fax
(410) 363-8830
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Yoonchul Roh, D.M.D
Title
Owner
Phone
(410) 363-7374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13225 MD Primary

Addresses

Primary practice location

90 Painters Mill Rd
Suite 130
Owings Mills, MD 21117-3630

Mailing address

90 Painters Mill Rd
Suite 130
Owings Mills, MD 21117-3630
Phone (410) 363-7374

Other names 1

  • Owings Mills Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1154690501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PAINTERS MILL RD",
            "address_2": "SUITE 130",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173630",
            "telephone_number": "410-363-7374",
            "fax_number": "410-363-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PAINTERS MILL RD",
            "address_2": "SUITE 130",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173630",
            "telephone_number": "410-363-7374",
            "fax_number": "410-363-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEDMD OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "ROH",
        "authorized_official_first_name": "YOONCHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-363-7374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owings Mills Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.