Amanda McPherson Canizales, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

14819 Issued in MD

Practice address

572F Ritchie Hwy Ste 210
Severna Park, MD 21146-2925

Phone

(410) 647-4094

Fax

(410) 647-9324

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maryland Dental Healthcare Network, LLC

  • Dentist
  • Annapolis, MD
  • NPI 1841039070
  NPD
• Yeremi a Canizales DDS P a

  • General Practice Dentistry
  • Severna Park, MD
  • NPI 1275902298
  NPD

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386807097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572F RITCHIE HWY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462925",
            "telephone_number": "410-647-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572F RITCHIE HWY STE 210",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462925",
            "telephone_number": "410-647-4094",
            "fax_number": "410-647-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIZALES",
        "first_name": "AMANDA",
        "middle_name": "MCPHERSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Seth Calish, PHARMD
• Christy Callahan, PMHNP-BC, CRNP
• Isabella Camerlin
• Kristen Mary Deboy Caminiti, MSW, LICSW
• Karly Campbell, MSOTRL
• Kathryn Demarinis Capozzoli, APRN, BC, PMH
• Michael D Cardaci, LCPC
• Diane T Carey, MA SLP
• Wanda Carroll, PTA, LMT, CNA
• Jessica Noemy Castro-Pocasangre

• Dentist in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.