Individual provider Active NPI

Albert Peter Sindall Jr., D.D.S.

  • General Practice Dentistry
  • Severna Park, MD
National Provider Identifier
1205959509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6249 Issued in MD
Practice address
479 Jumpers Hole Rd
Suite 201
Severna Park, MD 21146-1600
Phone
(410) 544-4444
Fax
(410) 544-7476
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6249 MD Primary

Addresses

Primary practice location

479 Jumpers Hole Rd
Suite 201
Severna Park, MD 21146-1600

Mailing address

7 Leeward CT
Severna Park, MD 21146-2423
Phone (410) 647-9255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702001946 MD Order and Referring Only - DentistPractitioner - Dentist 5193037240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Severna Park Smiles LLC PastSince May 16, 2021 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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205959509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LEEWARD CT",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462423",
            "telephone_number": "410-647-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD",
            "address_2": "SUITE 201",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461600",
            "telephone_number": "410-544-4444",
            "fax_number": "410-544-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDALL",
        "first_name": "ALBERT",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.