Individual provider Active NPI

Steven R Pohlhaus, DDS

  • General Practice Dentistry
  • Linthicum, MD
National Provider Identifier
1235344706
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10334 Issued in MD
Practice address
1302 Concourse Drive
Suite 101
Linthicum, MD 21090-1024
Phone
(410) 789-4999
Fax
(866) 619-6208
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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 10334 MD Primary

Addresses

Primary practice location

1302 Concourse Drive
Suite 101
Linthicum, MD 21090-1024

Mailing address

1302 Concourse Drive
Suite 101
Linthicum, MD 21090-1024
Phone (410) 789-4999

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
10334MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1235344706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 CONCOURSE DRIVE",
            "address_2": "SUITE 101",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210901024",
            "telephone_number": "410-789-4999",
            "fax_number": "866-619-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 CONCOURSE DRIVE",
            "address_2": "SUITE 101",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210901024",
            "telephone_number": "410-789-4999",
            "fax_number": "866-619-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHLHAUS",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.