Peter Dexheimer PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

S01181 Issued in MD

Legal business name

PETER DEXHEIMER PA

Practice address

10840 Little Patuxent Pkwy
Suite 203
Columbia, MD 21044-3115

Phone

(410) 531-6550

Fax

(410) 531-6552

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Peter Robert Dexheimer, DC

Title

Owner

Phone

(410) 531-6550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1164644142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443115",
            "telephone_number": "410-531-6550",
            "fax_number": "410-531-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443115",
            "telephone_number": "410-531-6550",
            "fax_number": "410-531-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER DEXHEIMER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "DEXHEIMER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-531-6550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "S01181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Columbia, MD
• Providers in Columbia, MD by specialty
• Preferred Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.