Active NPI
Rachael Lara Simon, DDS
- Pediatric Dentistry
- Catonsville, MD
National Provider Identifier
1417076191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12414
- Practice address
- 1134 N Rolling Rd
Catonsville, MD 21228-3826 - Phone
- (410) 788-4555
- Fax
- (410) 744-0142
- NPI assigned
- Mar 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12414 | MD | Primary |
Addresses
Primary practice location
1134 N Rolling Rd
Catonsville, MD 21228-3826
Mailing address
11862 Ramsburg Rd
Marriottsville, MD 21104-1417
Phone (410) 878-2211
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 |
|---|---|---|---|
| 12414 | MD | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Ginsberg, Simon, and Shroff Partnership | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- rsimon1519@direct.umm.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba smiles4children
- Pediatric Dentistry
- Catonsville, MD
- NPI 1316164700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417076191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11862 RAMSBURG RD",
"city": "MARRIOTTSVILLE",
"state": "MD",
"postal_code": "211041417",
"telephone_number": "410-878-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 N ROLLING RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212283826",
"telephone_number": "410-788-4555",
"fax_number": "410-744-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "RACHAEL",
"middle_name": "LARA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "12414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.