NPIMap

Individual provider Active NPI

Mariacristina Sylvia Yen, DMD

  • Pediatric Dentistry
  • Perry Hall, MD
National Provider Identifier
1205914421
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14251 Issued in MD
Practice address
5009 Honeygo Center Dr Ste 228
Perry Hall, MD 21128-9842
Phone
(410) 248-3384
NPI assigned
Nov 2, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 14251 MD Primary

Addresses

Primary practice location

5009 Honeygo Center Dr Ste 228
Perry Hall, MD 21128-9842

Mailing address

5009 Honeygo Center Dr Ste 228
Perry Hall, MD 21128-9842
Phone (410) 248-3384

Other practice location 1

7556 Teague Rd Ste 110
Hanover, MD 21076-1969
Phone (410) 799-0781

Other names 1

  • Mrs. Mariacristinasylvia Suaverdez-Yen Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14251MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Pediatric Dental Group, Inc Pediatric Dentistry Past Accepting new patients
Chesapeake Pediatric Dental Group Inc Pediatric Dentistry Past Accepting new patients
CPDG-Am Pediatric Dentistry Past Accepting new patients
CPDG-DD, LLC Pediatric Dentistry PastSince Nov 16, 2021 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205914421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR STE 228",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289842",
            "telephone_number": "410-248-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR STE 228",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289842",
            "telephone_number": "410-248-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7556 Teague Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MD",
            "postal_code": "210761969",
            "country_code": "US",
            "telephone_number": "410-799-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEN",
        "first_name": "MARIACRISTINA SYLVIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIACRISTINASYLVIA",
            "last_name": "SUAVERDEZ-YEN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perry Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.