NPIMap

Organization Active NPI

Dental Professionals of Maryland, Charles Foer, PC

Doing business as Dental Care of Elkton

  • General Practice Dentistry
  • Elkton, MD
National Provider Identifier
1306321856
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF MARYLAND, CHARLES FOER, PC
Doing business as
Dental Care of Elkton
Practice address
1189 E Pulaski Hwy
Elkton, MD 21921-6307
Phone
(443) 406-2950
Fax
(443) 207-5553
NPI assigned
Oct 1, 2018
Last updated
Feb 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF MARYLAND, CHARLES FOER, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Kendra Walker
Title
Senior Enrollment Coordinator
Phone
(217) 540-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1189 E Pulaski Hwy
Elkton, MD 21921-6307

Mailing address

1189 E Pulaski Hwy
Elkton, MD 21921-6307
Phone (443) 406-2450

Other names 1

  • Dental Care of Elkton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Maryland Charles Foer PC2 organizations share this tax ID, including this one
Part of
Dental Professionals of Maryland Charles Foer PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1189 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 207-5553

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1306321856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216307",
            "telephone_number": "443-406-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216307",
            "telephone_number": "443-406-2950",
            "fax_number": "443-207-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF MARYLAND, CHARLES FOER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF MARYLAND, CHARLES FOER, PC",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "SENIOR ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "217-540-8513"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Elkton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.