NPIMap

Organization Active NPI

Duckett Dental Associates

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1235433582
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10368 Issued in MD
Legal business name
DUCKETT DENTAL ASSOCIATES
Practice address
9110 Philadelphia Rd Ste 214
Baltimore, MD 21237-4325
Phone
(410) 780-0120
Fax
(410) 780-0702
NPI assigned
Dec 30, 2010
Last updated
Dec 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Mrs. Maria C Duckett, D.D.SNPI 1104979962
Title
Dentist / Owner
Phone
(410) 780-0120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10368 MD Primary

Addresses

Primary practice location

9110 Philadelphia Rd Ste 214
Baltimore, MD 21237-4325

Mailing address

9110 Philadelphia Rd Ste 214
Baltimore, MD 21237-4325
Phone (410) 780-0120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1235433582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD STE 214",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374325",
            "telephone_number": "410-780-0120",
            "fax_number": "410-780-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD STE 214",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374325",
            "telephone_number": "410-780-0120",
            "fax_number": "410-780-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCKETT DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "410-780-0120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.