NPIMap

Organization Active NPI

Egert Riley Deroo and Associates PA

  • Dentist
  • Catonsville, MD
National Provider Identifier
1255497160
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EGERT RILEY DEROO AND ASSOCIATES PA
Practice address
4 East Rolling Crossroads
Ste 205
Catonsville, MD 21228
Phone
(410) 719-7900
Fax
(410) 719-7816
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Herbert D Egert, DDS
Title
President
Phone
(410) 719-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X MD Primary

Addresses

Primary practice location

4 East Rolling Crossroads
Ste 205
Catonsville, MD 21228

Mailing address

4 East Rolling Crossroads
Ste 205
Catonsville, MD 21228
Phone (410) 719-7900

National Provider Directory

National Provider Directory

Locations

4 E Rolling Xrds
Ste 205
Catonsville, MD 21228
Phone (410) 719-7900

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1255497160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EAST ROLLING CROSSROADS",
            "address_2": "STE 205",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-719-7900",
            "fax_number": "410-719-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EAST ROLLING CROSSROADS",
            "address_2": "STE 205",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-719-7900",
            "fax_number": "410-719-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGERT RILEY DEROO AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "EGERT",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-719-7900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.