Individual provider Active NPI

Emily Marie Sewell, D.D.S.

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1306294566
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15966 Issued in MD
Practice address
101 Ridgely Ave Ste 12B
Annapolis, MD 21401-1415
Phone
(410) 267-0766
NPI assigned
May 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15966 MD Primary
Dentist 122300000X 15966 MD

Addresses

Primary practice location

101 Ridgely Ave Ste 12B
Annapolis, MD 21401-1415

Mailing address

572 Ritchie Hwy Ste F
Severna Park, MD 21146-2966
Phone (570) 498-2177

Other practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15966MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Dental Healthcare Network, LLC Dentist CurrentSince May 26, 2024 Accepting new patients
Yeremi a Canizales DDS P a General Practice CurrentSince May 26, 2024 Accepting new patients

Locations

101 Ridgely Ave
Ste 12B
Annapolis, MD 21401
Phone (410) 267-0766

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1306294566",
    "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": "570-498-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIDGELY AVE STE 12B",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011415",
            "telephone_number": "410-267-0766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "572 Ritchie Hwy Ste F",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211462966",
            "country_code": "US",
            "telephone_number": "410-647-4094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-28",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15966",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 19, 2024; 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.