Individual provider Active NPI

Dmitry Nova, DDS

  • General Practice Dentistry
  • Owings Mills, MD
National Provider Identifier
1437360666
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11190 Issued in MD
Practice address
4 Park Center CT Ste 201
Owings Mills, MD 21117-5614
Phone
(410) 363-6868
NPI assigned
May 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11190 MD Primary

Addresses

Primary practice location

4 Park Center CT Ste 201
Owings Mills, MD 21117-5614

Mailing address

4 Park Center CT Ste 201
Owings Mills, MD 21117-5614
Phone (410) 363-6868

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

LicenseStateTypeSpecialty
11190MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Dental PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437360666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER CT STE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175614",
            "telephone_number": "410-363-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER CT STE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175614",
            "telephone_number": "410-363-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVA",
        "first_name": "DMITRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, 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.

Verify at the official NPI Registry.