Individual provider Active NPI

Ronald Richard Chenette, D.M.D.

  • Dentist
  • Baltimore, MD
National Provider Identifier
1295970044
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9180 Issued in MD
Practice address
650 West Baltimore Street 5 South Room 5215
University of Maryland Dental School
Baltimore, MD 21201-1586
Phone
(410) 706-8125
NPI assigned
Dec 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9180 MD Primary

Addresses

Primary practice location

650 West Baltimore Street 5 South Room 5215
University of Maryland Dental School
Baltimore, MD 21201-1586

Mailing address

650 W Baltimore St
University of Maryland Dental School
Baltimore, MD 21201-1510
Phone (410) 706-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001519 MD Order and Referring Only - DentistPractitioner - Dentist 8628371804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9180MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1295970044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST",
            "address_2": "UNIVERSITY OF MARYLAND DENTAL SCHOOL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-706-7775",
            "fax_number": "410-706-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WEST BALTIMORE STREET 5 SOUTH ROOM 5215",
            "address_2": "UNIVERSITY OF MARYLAND DENTAL SCHOOL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011586",
            "telephone_number": "410-706-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENETTE",
        "first_name": "RONALD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "9180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.