Genesis Dental of Harford LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GENESIS DENTAL OF HARFORD LLC

Doing business as

Genesis Family Dental of Harford

Practice address

7122 Harford Rd
Baltimore, MD 21234-7741

Phone

(410) 444-6153

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wayne Silverman, DDSNPI 1821219635

Title

Owner

Phone

(410) 591-2174

Specialties & licenses 1

Addresses

Other names 1

• Genesis Family Dental of Harford Doing business as

Locations

Practitioners 3

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.

• Wayne Steven Silverman, DDS

  • General Practice Dentistry
  • Hanover, PA
  • NPI 1821219635
  NPD Authorized official
• Samantha Emma Rasekh, DDS

  • Dentist
  • Baltimore, MD
  • NPI 1316564503
  NPD
• Brian David Schaffer, D.D.S.

  • Dentist
  • Baltimore, MD
  • NPI 1376948414
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1316550916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7122 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347741",
            "telephone_number": "410-444-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DENTAL OF HARFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-591-2174",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Family Dental of Harford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• General Surgery Ambulatory Surgical Center, a.S.C., L.L.C.
• Generalhealthcareresources,Inc
• Generation 5 Healthcare, Inc.
• Generations Family Services
• Matthew Mark Generoso
• Genesis Eldercare Rehab Services
• Genesis Eldercare Rehab SVCS
• Genesis Healthcare
• Genesis Rehab Services
• Genesis Rehabilitation

• Dental Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.