NPIMap

Organization Active NPI

Berger & Waddell LLC

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1295889822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10179 Issued in MD
Legal business name
BERGER & WADDELL LLC
Practice address
20 Ridgely Ave
Suite 306
Annapolis, MD 21401-1410
Phone
(410) 268-9336
Fax
(410) 268-9428
NPI assigned
Jan 22, 2007
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
Dr. Jody M Waddell, DDSNPI 1992864029
Title
Partner
Phone
(410) 268-9336

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10179 MD Primary

Addresses

Primary practice location

20 Ridgely Ave
Suite 306
Annapolis, MD 21401-1410

Mailing address

20 Ridgely Ave
Suite 306
Annapolis, MD 21401-1410
Phone (410) 268-9336

Other names 1

  • Annapolis Dental Associates Other name

National Provider Directory

National Provider Directory

Locations

20 Ridgely Ave
Ste 306
Annapolis, MD 21401
Phone (410) 268-9336

Practitioners & affiliated clinicians

Practitioners 3

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295889822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIDGELY AVE",
            "address_2": "SUITE 306",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011410",
            "telephone_number": "410-268-9336",
            "fax_number": "410-268-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RIDGELY AVE",
            "address_2": "SUITE 306",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011410",
            "telephone_number": "410-268-9336",
            "fax_number": "410-268-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGER & WADDELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-268-9336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annapolis Dental Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Annapolis, 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.