Active NPI
Emily Marie Sewell, D.D.S.
- General Practice Dentistry
- Annapolis, MD
National Provider Identifier
1306294566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15966
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15966 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Dental Healthcare Network, LLC | Dentist | Current | Accepting new patients |
| Yeremi a Canizales DDS P a | General Practice | Current | 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.
-
- Dentist
- Annapolis, MD
- NPI 1841039070
-
- General Practice Dentistry
- Severna Park, MD
- NPI 1275902298
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.