Individual provider Active NPI

Stephanie Spitznagel, DDS

  • General Practice Dentistry
  • Bel Air, MD
National Provider Identifier
1235796491
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16802 Issued in MD
Practice address
1816 Emmorton Rd
Bel Air, MD 21015-6202
Phone
(410) 879-9111
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 16802 MD Primary

Addresses

Primary practice location

1816 Emmorton Rd
Bel Air, MD 21015-6202

Mailing address

816 W Farrow CT
Bel Air, MD 21014-6902
Phone (443) 848-4635

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
I20190710000263 MD Order and Referring Only - DentistPractitioner - Dentist 9133454481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16802MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Reznik D.D.S., P.a. PastSince Feb 11, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1235796491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W FARROW CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146902",
            "telephone_number": "443-848-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156202",
            "telephone_number": "410-879-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZNAGEL",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.