Mary Katherine Anderson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14135 Issued in MD

Practice address

5036 Dorsey Hall Dr.
St 105
Ellicott City, MD 21042

Phone

(410) 992-1980

Fax

(410) 992-0013

NPI assigned

Jul 10, 2008

Last updated

Jul 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Katherine Meyer Former name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anderson Dental, PA

  • General Practice Dentistry
  • Ellicott City, MD
  • NPI 1780348144
  NPD Authorized official
• S&K Meyer DDS PA

  • Dentist
  • Ellicott City, MD
  • NPI 1811133531
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1457515298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 DORSEY HALL DR.",
            "address_2": "ST 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21042",
            "telephone_number": "410-992-1980",
            "fax_number": "410-992-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 DORSEY HALL DR.",
            "address_2": "ST 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21042",
            "telephone_number": "410-992-1980",
            "fax_number": "410-992-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14135",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MEYER",
            "middle_name": "KATHERINE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anderson Dental, PA
• Brianna N Anderson, LCSW-C
• Desiree Lea Anderson, OTD, OTR/L
• Ellen Anderson, DPT
• Joshua Alan Anderson, MS, PA-C
• Tammy Anderson, LPN
• Andres Salazar P a
• Zoe Marie Andrews, RDN
• Anesthesia Company, LLC
• Vijayalakshmi Natarajan Angamuthu, DDS

• Dentist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.