Individual provider Active NPI

Teresa Lynne Doyle Adams, DMD

  • General Practice Dentistry
  • Ellicott City, MD
National Provider Identifier
1366508939
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11939 Issued in MD
Practice address
3201 Rogers Ave
Ellicott City, MD 21043-4594
Phone
(443) 276-0250
NPI assigned
Dec 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11939 MD Primary
General Practice Dentistry 1223G0001X 7300 VA

Addresses

Primary practice location

3201 Rogers Ave
Ellicott City, MD 21043-4594

Mailing address

4434 Cross Country Dr
Ellicott City, MD 21042-6234
Phone (410) 203-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 24, 2016 through Mar 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11939MDMDGeneral Practice Dentistry
7300VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366508939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 CROSS COUNTRY DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426234",
            "telephone_number": "410-203-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 ROGERS AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434594",
            "telephone_number": "443-276-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE ADAMS",
        "first_name": "TERESA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11939",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.