NPIMap

Organization Active NPI

Dundalk Health & Wellness LLC

  • Primary Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1164370441
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DUNDALK HEALTH & WELLNESS LLC
Practice address
6610 Tributary St Ste 310
Baltimore, MD 21224-6514
Phone
(443) 628-6956
Fax
(443) 628-6947
NPI assigned
Mar 20, 2026
Organization subpart
Yes
Parent organization
DUNDALK HEALTH & WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Dr. Iris Jackson, PHD, LCSW-C
Title
Director
Phone
(443) 628-6956

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6610 Tributary St Ste 310
Baltimore, MD 21224-6514

Mailing address

6610 Tributary St Ste 310
Baltimore, MD 21224-6514
Phone (443) 628-6956

National Provider Directory

National Provider Directory
Tax ID family
Dundalk Health Wellness LLC3 organizations share this tax ID, including this one
Part of
Dundalk Health Wellness LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1164370441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 TRIBUTARY ST STE 310",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246514",
            "telephone_number": "443-628-6956",
            "fax_number": "443-628-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 TRIBUTARY ST STE 310",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246514",
            "telephone_number": "443-628-6956",
            "fax_number": "443-628-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDALK HEALTH & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNDALK HEALTH & WELLNESS LLC",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-628-6956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.