NPIMap

Organization Active NPI

Catonsville Oral Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Catonsville, MD
National Provider Identifier
1437711983
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CATONSVILLE ORAL SURGERY, LLC
Practice address
405 Frederick Rd Ste 9
Catonsville, MD 21228-4607
Phone
(410) 744-4484
Fax
(410) 665-3235
NPI assigned
Jul 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Jennifer Loeffler
Title
Office Manager
Phone
(410) 744-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

405 Frederick Rd Ste 9
Catonsville, MD 21228-4607

Mailing address

405 Frederick Rd Ste 9
Catonsville, MD 21228-4607
Phone (410) 744-4484

Other names 1

  • Catonsville Oral Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

405 Frederick Rd
Ste 9
Catonsville, MD 21228
Phone (410) 744-4484

Practitioners & affiliated clinicians

Practitioners 4

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": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1437711983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD STE 9",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284607",
            "telephone_number": "410-744-4484",
            "fax_number": "410-665-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD STE 9",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284607",
            "telephone_number": "410-744-4484",
            "fax_number": "410-665-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATONSVILLE ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "LOEFFLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-744-4484"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catonsville Oral Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2019; 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.