Individual provider Active NPI

Cordelia Ann Mills, DDS

  • Endodontics
  • Baltimore, MD
National Provider Identifier
1174798268
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
16551 Issued in MD
Practice address
5100 Falls Rd
Cross Keys Dental Care
Baltimore, MD 21210
Phone
(410) 323-6400
Fax
(410) 433-4554
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DEN.002002188 CO
Endodontics 1223E0200X DNO14722 GA
Endodontics 1223E0200X 16551 MD Primary

Addresses

Primary practice location

5100 Falls Rd
Cross Keys Dental Care
Baltimore, MD 21210

Mailing address

6240 Lake Osprey Drive
Dental Care Alliance
Sarasota, FL 34240
Phone (941) 955-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.002002188COMDEndodontist
DNO14722GAMDEndodontist
16551MDMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Care Alliance LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1174798268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 LAKE OSPREY DRIVE",
            "address_2": "DENTAL CARE ALLIANCE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34240",
            "telephone_number": "941-955-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 FALLS RD",
            "address_2": "CROSS KEYS DENTAL CARE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21210",
            "telephone_number": "410-323-6400",
            "fax_number": "410-433-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "CORDELIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "DEN.002002188",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DNO14722",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "16551",
            "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 29, 2018; 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.