NPIMap

Organization Active NPI

John C. Fiastro, D.D.S.

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1295807865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6046 Issued in MD
Legal business name
JOHN C. FIASTRO, D.D.S.
Practice address
4000 Annapolis Rd
Suite 101
Baltimore, MD 21227-3600
Phone
(410) 789-0551
Fax
(410) 789-7740
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Terri L. Barnes
Title
Office Manager
Phone
(410) 789-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6046 MD Primary

Addresses

Primary practice location

4000 Annapolis Rd
Suite 101
Baltimore, MD 21227-3600

Mailing address

4000 Annapolis Rd
Suite 101
Baltimore, MD 21227-3600
Phone (410) 789-0551

National Provider Directory

National Provider Directory

Locations

4000 Annapolis Rd
Rear 101
Baltimore, MD 21227
Phone (410) 789-0551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295807865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ANNAPOLIS RD",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273600",
            "telephone_number": "410-789-0551",
            "fax_number": "410-789-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ANNAPOLIS RD",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273600",
            "telephone_number": "410-789-0551",
            "fax_number": "410-789-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. FIASTRO, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-789-0551"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6046",
            "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 Aug 22, 2020; 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.