NPIMap

Organization Active NPI

Greg Felthousen, DDS, Ms, LLC

  • Periodontics
  • Salisbury, MD
National Provider Identifier
1235360017
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10511 Issued in MD
Legal business name
GREG FELTHOUSEN, DDS, MS, LLC
Practice address
304 Dogwood Dr
Salisbury, MD 21801-7122
Phone
(410) 548-1096
Fax
(410) 219-5798
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Dr. Greg Felthousen, DDS, MSNPI 1417979733
Title
Owner
Phone
(410) 548-1096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 10511 MD Primary

Addresses

Primary practice location

304 Dogwood Dr
Salisbury, MD 21801-7122

Mailing address

304 Dogwood Dr
Salisbury, MD 21801-7122
Phone (410) 548-1096

National Provider Directory

National Provider Directory

Locations

304 Dogwood Dr
Salisbury, MD 21801
Phone (410) 548-1096

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1235360017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 DOGWOOD DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017122",
            "telephone_number": "410-548-1096",
            "fax_number": "410-219-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 DOGWOOD DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017122",
            "telephone_number": "410-548-1096",
            "fax_number": "410-219-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG FELTHOUSEN, DDS, MS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "FELTHOUSEN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-548-1096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "10511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.