Active NPI
Suman Chibb
- Dentist
- Baltimore, MD
National Provider Identifier
1316134620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14159
- Practice address
- 1001 Cathedral St
Baltimore, MD 21201-5442 - Phone
- (410) 752-0954
- Fax
- (410) 752-1297
- NPI assigned
- Oct 1, 2007
- Last updated
- Apr 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14159 | MD | Primary |
Addresses
Primary practice location
1001 Cathedral St
Baltimore, MD 21201-5442
Mailing address
25 Hooks LN Ste 212
Pikesville, MD 21208-1619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132190100 | Medicaid | MD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150727001103 | MD | Order and Referring Only - Dentist | 3678634805 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1316134620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HOOKS LN STE 212",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212081619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CATHEDRAL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015442",
"telephone_number": "410-752-0954",
"fax_number": "410-752-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIBB",
"first_name": "SUMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132190100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.