Organization Active NPI

Dove Podiatry PA

  • Foot Surgery Podiatrist
  • Nottingham, MD
National Provider Identifier
1174833735
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
01030 Issued in MD
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

Updated by the provider on Apr 17, 2018

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
R049 0001OtherBCBS FED
544008400MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.