Active NPI
Peter Joseph, D.M.D.
- Periodontics
- Owings Mills, MD
National Provider Identifier
1366739278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12818
- Practice address
- 66 Painters Mill Rd
Suite 100
Owings Mills, MD 21117-3641 - Phone
- (410) 363-3780
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 12818 | MD | Primary |
Addresses
Primary practice location
66 Painters Mill Rd
Suite 100
Owings Mills, MD 21117-3641
Mailing address
66 Painters Mill Rd
Suite 100
Owings Mills, MD 21117-3641
Phone (410) 363-3780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231220000358 | MD | Order and Referring Only - Dentist | 8022390558 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1366739278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 PAINTERS MILL RD",
"address_2": "SUITE 100",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173641",
"telephone_number": "410-363-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 PAINTERS MILL RD",
"address_2": "SUITE 100",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173641",
"telephone_number": "410-363-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "12818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.