NPIMap

Organization Active NPI

Mercy Medical Center, Inc.

  • Dentist
  • Baltimore, MD
National Provider Identifier
1457521791
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4233 Issued in MD
Legal business name
MERCY MEDICAL CENTER, INC.
Practice address
301 St. Paul Place Mercy Medical Center
Dental Dept.
Baltimore, MD 21202
Phone
(410) 332-9262
Fax
(410) 545-4253
NPI assigned
Mar 3, 2008
Organization subpart
Yes
Parent organization
MERCY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Sharon Harper
Title
Clinical Office Manager
Phone
(410) 385-3270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4233 MD Primary

Addresses

Primary practice location

301 St. Paul Place Mercy Medical Center
Dental Dept.
Baltimore, MD 21202

Mailing address

301 St. Paul Place Mercy Medical Center
Dental Dept.
Baltimore, MD 21202
Phone (410) 385-3270

Other identifiers 1

IdentifierTypeStateIssuer
420804800MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Center Inc11 organizations share this tax ID, including this one
Part of
Mercy Medical Center Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1457521791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ST. PAUL PLACE MERCY MEDICAL CENTER",
            "address_2": "DENTAL DEPT.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-385-3270",
            "fax_number": "410-545-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ST. PAUL PLACE MERCY MEDICAL CENTER",
            "address_2": "DENTAL DEPT.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-332-9262",
            "fax_number": "410-545-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY MEDICAL CENTER INC",
        "enumeration_date": "2008-03-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CLINICAL OFFICE MANAGER",
        "authorized_official_telephone_number": "410-385-3270"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "4233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420804800",
            "state": "MD"
        }
    ],
    "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 Aug 3, 2021; 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.