NPIMap

Organization Active NPI

Randall H. Hiers D.D.S., P.a

  • General Practice Dentistry
  • Cambridge, MD
National Provider Identifier
1366518599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7519 Issued in MD
Legal business name
RANDALL H. HIERS D.D.S., P.A
Practice address
17 Franklin St
Cambridge, MD 21613-1916
Phone
(410) 228-4191
Fax
(410) 228-0356
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patti Morgan, R.D.H
Title
Office Manager
Phone
(410) 228-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7519 MD Primary

Addresses

Primary practice location

17 Franklin St
Cambridge, MD 21613-1916

Mailing address

17 Franklin St
Cambridge, MD 21613-1916
Phone (410) 228-4191

Other identifiers 1

IdentifierTypeStateIssuer
7519OtherMDST OF MD LICENSE

National Provider Directory

National Provider Directory

Locations

17 Franklin St
Cambridge, MD 21613
Phone (410) 228-4191

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366518599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FRANKLIN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131916",
            "telephone_number": "410-228-4191",
            "fax_number": "410-228-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FRANKLIN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131916",
            "telephone_number": "410-228-4191",
            "fax_number": "410-228-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL H. HIERS D.D.S., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-228-4191",
        "authorized_official_credential": "R.D.H"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST OF MD LICENSE",
            "identifier": "7519",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.