Active NPI
Dove Podiatry PA
- Foot Surgery Podiatrist
- Nottingham, MD
National Provider Identifier
1174833735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 01030
- Legal business name
- DOVE PODIATRY PA
- Practice address
- 8817 Belair Rd Ste 109
Nottingham, MD 21236-2445 - Phone
- (410) 870-3325
- Fax
- (410) 870-3631
- NPI assigned
- Oct 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph E Dove, DPM
- Title
- Owner
- Phone
- (410) 870-3325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 01030 | MD | Primary |
Addresses
Primary practice location
8817 Belair Rd Ste 109
Nottingham, MD 21236-2445
Mailing address
8817 Belair Rd Ste 109
Nottingham, MD 21236-2445
Phone (410) 870-3325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R049 0001 | Other | BCBS FED | |
| 544008400 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
8817 Belair Rd
Ste 109
Nottingham, MD 21236
Phone (410) 529-7700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523923200000",
"number": "1174833735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8817 BELAIR RD STE 109",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212362445",
"telephone_number": "410-870-3325",
"fax_number": "410-870-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8817 BELAIR RD STE 109",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212362445",
"telephone_number": "410-870-3325",
"fax_number": "410-870-3631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOVE PODIATRY PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-18",
"last_updated": "2018-04-17",
"status": "A",
"authorized_official_last_name": "DOVE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-870-3325",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "MD",
"license": "01030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FED",
"identifier": "R049 0001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "544008400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.