NPIMap

Organization Active NPI

Ibrahim-Smilekeepers Dental

  • Dentist
  • Glen Burnie, MD
National Provider Identifier
1396974341
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11627 Issued in MD
Legal business name
IBRAHIM-SMILEKEEPERS DENTAL
Practice address
7954 Baltimore Annapolis Blvd
Suite 1-C
Glen Burnie, MD 21060-8188
Phone
(410) 766-2221
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Essam N Ibrahim, DDS
Title
Owner
Phone
(410) 766-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 11627 MD Primary

Addresses

Primary practice location

7954 Baltimore Annapolis Blvd
Suite 1-C
Glen Burnie, MD 21060-8188

Mailing address

PO Box 550
Glen Burnie, MD 21060-0550
Phone (410) 766-2221

National Provider Directory

National Provider Directory

Locations

7954 Baltimore Annapolis Blvd
Ste 1C
Glen Burnie, MD 21060
Phone (410) 766-2221

Practitioners & affiliated clinicians

Practitioners 2

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": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1396974341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210600550",
            "telephone_number": "410-766-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 1-C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608188",
            "telephone_number": "410-766-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM-SMILEKEEPERS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ESSAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-766-2221",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "11627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.