Organization Active NPI

Federal Hill Dental LLC

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1174461057
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FEDERAL HILL DENTAL LLC
Practice address
835 Light St Ste 1
Baltimore, MD 21230-4783
Phone
(410) 727-3388
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Crystal Ellis, DDSNPI 1407022783
Title
Managing Dentist
Phone
(202) 394-3677

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

835 Light St Ste 1
Baltimore, MD 21230-4783

Mailing address

835 Light St Ste 1
Baltimore, MD 21230-4783
Phone (410) 727-3388

National Provider Directory

National Provider Directory

Locations

835 Light St
Ste 1
Baltimore, MD 21230
Phone (410) 727-3388

Practitioners & affiliated clinicians

Practitioners 1

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": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1174461057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 LIGHT ST STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304783",
            "telephone_number": "410-727-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 LIGHT ST STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304783",
            "telephone_number": "410-727-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL HILL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "202-394-3677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 23, 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.