NPIMap

Organization Active NPI

Yeremi a Canizales DDS P a

Doing business as Severn River Dental Health Center

  • General Practice Dentistry
  • Severna Park, MD
National Provider Identifier
1275902298
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14933 Issued in MD
Legal business name
YEREMI A CANIZALES DDS P A
Doing business as
Severn River Dental Health Center
Practice address
572 Ritchie Hwy Ste F
Severna Park, MD 21146-2966
Phone
(410) 647-4094
NPI assigned
Sep 21, 2015
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Yeremi Antonio Canizales, DDSNPI 1790079697
Title
Owner
Phone
(410) 647-4094

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14933 MD Primary
Prosthodontics 1223P0700X 14819 MD
Dental Hygienist 124Q00000X 6912 MD

Addresses

Primary practice location

572 Ritchie Hwy Ste F
Severna Park, MD 21146-2966

Mailing address

572 Ritchie Hwy Ste F
Severna Park, MD 21146-2966
Phone (410) 647-4094

Other identifiers 1

IdentifierTypeStateIssuer
1790079697OtherMDNPI

Other names 1

  • Severn River Dental Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

572 Ritchie Hwy
Ste F
Severna Park, MD 21146
Phone (410) 647-4094

Practitioners & affiliated clinicians

Practitioners 6

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": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1275902298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 RITCHIE HWY STE F",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462966",
            "telephone_number": "410-647-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 RITCHIE HWY STE F",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462966",
            "telephone_number": "410-647-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEREMI A CANIZALES DDS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "CANIZALES",
        "authorized_official_first_name": "YEREMI",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-647-4094",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14933",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "14819",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "6912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790079697",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Severn River Dental Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Severn River Dental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.