Active NPI
Cynthia Barrack
- General Practice Dentistry
- Fort George G Meade, MD
National Provider Identifier
1396760237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12178
- Practice address
- 8472 Simonds St
Fort George G Meade, MD 20755-5700 - Phone
- (301) 677-6078
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12178 | MD | |
| General Practice Dentistry | 1223G0001X | 12178 | MD | Primary |
Addresses
Primary practice location
8472 Simonds St
Fort George G Meade, MD 20755-5700
Mailing address
8472 Simmond St
Fort George G Meade, MD 20755-5700
Phone (301) 677-6078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12178 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1396760237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8472 SIMMOND ST",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "207555700",
"telephone_number": "301-677-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8472 SIMONDS ST",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "207555700",
"telephone_number": "301-677-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRACK",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12178",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "12178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort George G Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.