Individual provider Active NPI

Gary Merle Epstein, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bel Air, MD
National Provider Identifier
1336293018
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
07839 Issued in MD
Practice address
2014 S Tollgate Rd
Suite 100
Bel Air, MD 21015-5903
Phone
(410) 515-0430
Fax
(410) 515-2288
NPI assigned
Jan 22, 2007
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 07839 MD Primary

Addresses

Primary practice location

2014 S Tollgate Rd
Suite 100
Bel Air, MD 21015-5903

Mailing address

2014 S Tollgate Rd
Ste 100
Bel Air, MD 21015-5906

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
07839MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery Associates P.a. Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1336293018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 S TOLLGATE RD",
            "address_2": "STE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S TOLLGATE RD",
            "address_2": "SUITE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155903",
            "telephone_number": "410-515-0430",
            "fax_number": "410-515-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "GARY",
        "middle_name": "MERLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "07839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.