NPIMap

Organization Active NPI

Kindermender Glenburnie

  • Urgent Care Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1407203581
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KINDERMENDER GLENBURNIE
Practice address
7010 Ritchie Hwy
Glen Burnie, MD 21061-2902
Phone
(443) 492-4000
Fax
(443) 492-4010
NPI assigned
May 19, 2016
Last updated
Apr 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Keyvan Rafei, M.DNPI 1669417267
Title
Medical Director
Phone
(443) 492-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

7010 Ritchie Hwy
Glen Burnie, MD 21061-2902

Mailing address

7010 Ritchie Hwy
Glen Burnie, MD 21061-2902
Phone (443) 492-4000

National Provider Directory

National Provider Directory
Tax ID family
Kindermender5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1407203581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612902",
            "telephone_number": "443-492-4000",
            "fax_number": "443-492-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612902",
            "telephone_number": "443-492-4000",
            "fax_number": "443-492-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDERMENDER GLENBURNIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "RAFEI",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-492-4000",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "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 Apr 28, 2017; 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.