Caitlin Bartell, DDS

Key facts

NPI

1346829033

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

17302 (MD)

Practice address

1201 Agora Dr Ste 2B
Bel Air, MD 21014-6859

Phone

(410) 803-3367

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

Other names

• Caitlin McMahon Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 19, 2022.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1346829033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 INWOOD CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092063",
            "telephone_number": "410-782-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR STE 2B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146859",
            "telephone_number": "410-803-3367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-320-9379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTELL",
        "first_name": "CAITLIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MCMAHON",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Bel Air, MD · General Practice Dentistry in Maryland