Active NPI
Growing Smiles P.a.
- Pediatric Dentistry
- Bel Air, MD
National Provider Identifier
1295934693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12180
- Legal business name
- GROWING SMILES P.A.
- Practice address
- 2012 S Tollgate Rd
Suite 212
Bel Air, MD 21015-5900 - Phone
- (410) 569-6700
- Fax
- (410) 569-6718
- NPI assigned
- Jul 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diana M Capobianco, DDS
- Title
- President
- Phone
- (410) 569-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12180 | MD | Primary |
Addresses
Primary practice location
2012 S Tollgate Rd
Suite 212
Bel Air, MD 21015-5900
Mailing address
2012 S Tollgate Rd
Suite 212
Bel Air, MD 21015-5900
Phone (410) 569-6700
National Provider Directory
National Provider DirectoryLocations
2012 S Tollgate Rd
Ste 212
Bel Air, MD 21015
Phone (410) 569-6700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1295934693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 S TOLLGATE RD",
"address_2": "SUITE 212",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210155900",
"telephone_number": "410-569-6700",
"fax_number": "410-569-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 S TOLLGATE RD",
"address_2": "SUITE 212",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210155900",
"telephone_number": "410-569-6700",
"fax_number": "410-569-6718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWING SMILES P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "CAPOBIANCO",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-569-6700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "12180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.