NPIMap

Organization Active NPI

Easton Kids Dentist LLC

  • Pediatric Dentistry
  • Easton, MD
National Provider Identifier
1417575424
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
EASTON KIDS DENTIST LLC
Practice address
613 Dutchmans LN
Easton, MD 21601-4304
Phone
(410) 822-7575
Fax
(410) 763-8929
NPI assigned
Jul 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Authorized official

Name
Dr. Erica Michele Lewis-Mead, DDSNPI 1922099225
Title
Owner/ Dentist
Phone
(410) 822-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

613 Dutchmans LN
Easton, MD 21601-4304

Mailing address

613 Dutchmans LN
Easton, MD 21601-4304
Phone (410) 822-7575

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594425600000",
    "number": "1417575424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014304",
            "telephone_number": "410-822-7575",
            "fax_number": "410-763-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014304",
            "telephone_number": "410-822-7575",
            "fax_number": "410-763-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON KIDS DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS-MEAD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "410-822-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.