NPIMap

Organization Active NPI

Jerome S. Casper Childrens Dental Office, P.a.

  • Pediatric Dentistry
  • Gambrills, MD
National Provider Identifier
1255747416
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6515 Issued in MD
Legal business name
JEROME S. CASPER CHILDRENS DENTAL OFFICE, P.A.
Practice address
2410 Evergreen Rd
Suite 101
Gambrills, MD 21054-1848
Phone
(410) 721-3393
Fax
(301) 386-3403
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Jerome S Casper, D.M.D.
Title
Owner/Partner
Phone
(410) 721-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6515 MD Primary

Addresses

Primary practice location

2410 Evergreen Rd
Suite 101
Gambrills, MD 21054-1848

Mailing address

2410 Evergreen Rd
Suite 101
Gambrills, MD 21054-1848
Phone (410) 721-3393

National Provider Directory

National Provider Directory
Tax ID family
Jerome S Casper Childrens Dental Office PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1255747416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 EVERGREEN RD",
            "address_2": "SUITE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541848",
            "telephone_number": "410-721-3393",
            "fax_number": "301-386-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 EVERGREEN RD",
            "address_2": "SUITE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541848",
            "telephone_number": "410-721-3393",
            "fax_number": "301-386-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME S. CASPER CHILDRENS DENTAL OFFICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "CASPER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "410-721-3393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "6515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.