Individual provider Active NPI

Mary Cathleen Brown, RDH

  • Dental Hygienist
  • Centreville, MD
National Provider Identifier
1316712623
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
8358 Issued in MD
Practice address
134 Coursevall Dr
Centreville, MD 21617-1824
Phone
(410) 758-1224
NPI assigned
Nov 16, 2023
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 8358 MD Primary

Addresses

Primary practice location

134 Coursevall Dr
Centreville, MD 21617-1824

Mailing address

134 Coursevall Dr
Centreville, MD 21617-1824
Phone (410) 758-1224

Other practice location 1

300 Tuskegee Blvd Bldg 304
Dover, DE 19902-5003
Phone (302) 677-2846

Other names 1

  • Mary Cathleen Galasso Former name

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
8358MDMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1316712623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 COURSEVALL DR",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171824",
            "telephone_number": "410-758-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 COURSEVALL DR",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171824",
            "telephone_number": "410-758-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Tuskegee Blvd Bldg 304",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199025003",
            "country_code": "US",
            "telephone_number": "302-677-2846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "CATHLEEN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "8358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GALASSO",
            "middle_name": "CATHLEEN",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centreville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.