Active NPI
Wilfred Joseph St Cyr, DDS
- General Practice Dentistry
- Catonsville, MD
National Provider Identifier
1225074149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4513
- Practice address
- 2114 Edmondson Avenue
Catonsville, MD 21228 - Phone
- (410) 747-6910
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4513 | MD | Primary |
Addresses
Primary practice location
2114 Edmondson Avenue
Catonsville, MD 21228
Mailing address
2114 Edmondson Avenue
Catonsville, MD 21228
Phone (410) 788-2282
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160509000160 | MD | Order and Referring Only - Other (Physician) | 7416256730 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4513 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225074149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 EDMONDSON AVENUE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-788-2282",
"fax_number": "410-788-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 EDMONDSON AVENUE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-747-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST CYR",
"first_name": "WILFRED",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "4513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
- Spring Grove Hospital Center/Physician Group
- Amanda Rae Square, M.D., M.P.H.
- SSC Catonsville Operating Company LLC (Summit Park Health and Rehabilitation Center)
- St Agnes Healthcare (Seton Medical Group)
- St Catherines Urgent Care&Primary Care
- St Ritas Behavioral Health Care Services
- St. Agnes Healthcare, Inc.
- St. Agnes Healthcare, Inc.
- St. Agnes Healthcare, Inc.
- St. Agnes Healthcare, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.