Organization Active NPI

DRS. Dworkin and Clemens of Cross Keys Dental PA

  • Pediatric Dentistry
  • Baltimore, MD
National Provider Identifier
1427174333
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4152 Issued in MD
Legal business name
DRS. DWORKIN AND CLEMENS OF CROSS KEYS DENTAL PA
Practice address
2 Hamill Rd
Suite 266 South
Baltimore, MD 21210-1806
Phone
(410) 435-8400
NPI assigned
Mar 22, 2007
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Allan M. Dworkin, D.D.SNPI 1669429874
Title
Owner
Phone
(410) 435-8400

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
Pediatric Dentistry 1223P0221X 4152 MD Primary

Addresses

Primary practice location

2 Hamill Rd
Suite 266 South
Baltimore, MD 21210-1806

Mailing address

2 Hamill Rd
Suite 266 South
Baltimore, MD 21210-1806
Phone (410) 435-8400

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, 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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1427174333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD",
            "address_2": "SUITE 266 SOUTH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101806",
            "telephone_number": "410-435-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD",
            "address_2": "SUITE 266 SOUTH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101806",
            "telephone_number": "410-435-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. DWORKIN AND CLEMENS OF CROSS KEYS DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "DWORKIN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-435-8400",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "4152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.