Organization Active NPI

Winifred J Booker DDS PA

  • Pediatric Dentistry
  • Owings Mills, MD
National Provider Identifier
1164635777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WINIFRED J BOOKER DDS PA
Practice address
9199 Reisterstown Rd Ste 203a
Owings Mills, MD 21117-4514
Phone
(410) 356-8571
Fax
(410) 356-8574
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Winifred J Booker, DDSNPI 1235358953
Title
Owner
Phone
(410) 356-8571

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

9199 Reisterstown Rd Ste 203a
Owings Mills, MD 21117-4514

Mailing address

9199 Reisterstown Rd Ste 203a
Owings Mills, MD 21117-4514
Phone (410) 356-8571

National Provider Directory

National Provider Directory

Locations

9199 Reisterstown Rd
Ste 203A
Owings Mills, MD 21117
Phone (410) 356-8571

Practitioners & affiliated clinicians

Practitioners 6

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164635777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 203A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174514",
            "telephone_number": "410-356-8571",
            "fax_number": "410-356-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 203A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174514",
            "telephone_number": "410-356-8571",
            "fax_number": "410-356-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINIFRED J BOOKER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-356-8571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.