Active NPI
Harbor East Dental
- General Practice Dentistry
- Baltimore, MD
National Provider Identifier
1184766370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 07526
- Legal business name
- HARBOR EAST DENTAL
- Practice address
- 1001 Fleet St
Suite R
Baltimore, MD 21202-4346 - Phone
- (410) 385-9966
- Fax
- (410) 385-0276
- NPI assigned
- Feb 13, 2007
- 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. Venice Karen Paterakis, D.D.S
- Title
- President
- Phone
- (410) 385-9966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 07526 | MD | Primary |
Addresses
Primary practice location
1001 Fleet St
Suite R
Baltimore, MD 21202-4346
Mailing address
1001 Fleet St
Suite R
Baltimore, MD 21202-4346
Phone (410) 385-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5033 | Other | MD | BLUECROSS BLUESHIELD ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1548239700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184766370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 FLEET ST",
"address_2": "SUITE R",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024346",
"telephone_number": "410-385-9966",
"fax_number": "410-385-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 FLEET ST",
"address_2": "SUITE R",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024346",
"telephone_number": "410-385-9966",
"fax_number": "410-385-0276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR EAST DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATERAKIS",
"authorized_official_first_name": "VENICE",
"authorized_official_middle_name": "KAREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-385-9966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "07526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD ID",
"identifier": "5033",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Thomas Harbo
- Harbor Area Behavioral Health
- Harbor City OB/GYN Associates
- Harbor City Pediatrics Early Intervention and Educational Testing Serv
- Harbor Counseling LLC
- Harbor Endodontics, PA
- Harbor Eyes Optical Inc
- Harbor Hospital
- Harbor Hospital (Harbor Primary Care-Drs. Dennis, Dart and Muneer)
- Harbor Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.