Organization Active NPI

Halethorpe Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baltimore, MD
National Provider Identifier
1346646379
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
HALETHORPE ORTHODONTICS, LLC
Practice address
4367 Hollins Ferry Rd
Suite 1D
Baltimore, MD 21227-3400
Phone
(410) 565-6282
Fax
(301) 384-9877
NPI assigned
Nov 19, 2014
Organization subpart
Yes
Parent organization
M&R DENTAL ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Ravi Kaur, DDS
Title
Owner
Phone
(410) 565-6282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X MD Primary

Addresses

Primary practice location

4367 Hollins Ferry Rd
Suite 1D
Baltimore, MD 21227-3400

Mailing address

4367 Hollins Ferry Rd
Suite 1D
Baltimore, MD 21227-3400
Phone (410) 565-6282

Other identifiers 1

IdentifierTypeStateIssuer
039215400MedicaidMD

National Provider Directory

National Provider Directory
Part of
Mr Dental Associates

Locations

4367 Hollins Ferry Rd
Ste 1D
Baltimore, MD 21227
Phone (410) 565-6282

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1346646379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 HOLLINS FERRY RD",
            "address_2": "SUITE 1D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273400",
            "telephone_number": "410-565-6282",
            "fax_number": "301-384-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 HOLLINS FERRY RD",
            "address_2": "SUITE 1D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273400",
            "telephone_number": "410-565-6282",
            "fax_number": "301-384-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALETHORPE ORTHODONTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M&R DENTAL ASSOCIATES, LLC",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-565-6282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039215400",
            "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 Nov 19, 2014; 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.