NPIMap

Organization Active NPI

Kids First Pediatric Dentistry, L.L.C.

  • Pediatric Dentistry
  • Timonium, MD
National Provider Identifier
1457742918
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10463 Issued in MD
Legal business name
KIDS FIRST PEDIATRIC DENTISTRY, L.L.C.
Practice address
2326 York Rd
Suite 200
Timonium, MD 21093-2266
Phone
(410) 828-5699
Fax
(410) 828-0711
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Austin Joseph Schumann BowdenNPI 1699180943
Title
Co-Owner
Phone
(410) 828-5699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 10463 MD Primary

Addresses

Primary practice location

2326 York Rd
Suite 200
Timonium, MD 21093-2266

Mailing address

2326 York Rd
Suite 200
Timonium, MD 21093-2266
Phone (410) 828-5699

Other identifiers 1

IdentifierTypeStateIssuer
545404200MedicaidMD

Other names 2

  • Tracy A Bowden, D.D.S., L.L.C. Former legal business name
  • Kids First Pediatric Dentistry, L.L.C. Other name

National Provider Directory

National Provider Directory

Locations

2326 York Rd
Ste 200
Timonium, MD 21093
Phone (410) 828-5699

Practitioners & affiliated clinicians

Practitioners 3

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": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1457742918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 YORK RD",
            "address_2": "SUITE 200",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932266",
            "telephone_number": "410-828-5699",
            "fax_number": "410-828-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 YORK RD",
            "address_2": "SUITE 200",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932266",
            "telephone_number": "410-828-5699",
            "fax_number": "410-828-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRIC DENTISTRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "JOSEPH SCHUMANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "410-828-5699"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "10463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "545404200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracy A Bowden, D.D.S., L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tracy A Bowden, D.D.S., L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kids First Pediatric Dentistry, L.L.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.