NPIMap

Organization Active NPI

Choptank Community Health System Inc

Doing business as Bay Hundred Dental Center

  • Federally Qualified Health Center (FQHC)
  • St. Michael's, MD
National Provider Identifier
1336769082
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Doing business as
Bay Hundred Dental Center
Practice address
933 S Talbot St Ste 4
St Michaels, MD 21663-2605
Phone
(410) 745-0200
Fax
(833) 916-1010
NPI assigned
Apr 23, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Sara Rich
Title
Ceo
Phone
(410) 479-4306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

933 S Talbot St Ste 4
St Michaels, MD 21663-2605

Mailing address

933 S Talbot St Ste 4
St Michaels, MD 21663-2605
Phone (410) 745-0200

Other names 1

  • Bay Hundred Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Choptank Community Heal103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1336769082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 S TALBOT ST STE 4",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "216632605",
            "telephone_number": "410-745-0200",
            "fax_number": "833-916-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S TALBOT ST STE 4",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "216632605",
            "telephone_number": "410-745-0200",
            "fax_number": "833-916-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOPTANK COMMUNITY HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-479-4306"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Hundred Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Hundred Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Michael's, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.