NPIMap

Organization Active NPI

North Bay Family Dental

  • General Practice Dentistry
  • North East, MD
National Provider Identifier
1457748121
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13880 Issued in MD
Legal business name
NORTH BAY FAMILY DENTAL
Practice address
3135 Joseph Biggs Memorial Hwy
Suite 2B
North East, MD 21901-1839
Phone
(410) 983-3000
Fax
(410) 567-5449
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Minda Beth Gates
Title
Reception
Phone
(410) 983-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13880 MD Primary

Addresses

Primary practice location

3135 Joseph Biggs Memorial Hwy
Suite 2B
North East, MD 21901-1839

Mailing address

3135 Joseph Biggs Memorial Hwy
Suite 2B
North East, MD 21901-1839
Phone (410) 983-3000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1457748121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 JOSEPH BIGGS MEMORIAL HWY",
            "address_2": "SUITE 2B",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219011839",
            "telephone_number": "410-983-3000",
            "fax_number": "410-567-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 JOSEPH BIGGS MEMORIAL HWY",
            "address_2": "SUITE 2B",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219011839",
            "telephone_number": "410-983-3000",
            "fax_number": "410-567-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "MINDA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "RECEPTION",
        "authorized_official_telephone_number": "410-983-3000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.