NPIMap

Organization Active NPI

Bernard J Dormer DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Salisbury, MD
National Provider Identifier
1487687281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
MD05156 Issued in MD
Legal business name
BERNARD J DORMER DDS PA
Practice address
1410 S Salisbury Blvd
Ste 3
Salisbury, MD 21801-7127
Phone
(410) 749-0248
Fax
(410) 749-0292
NPI assigned
Jul 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bernard J Dormer, DDSNPI 1417977752
Title
Dr Dormer Employer
Phone
(410) 749-0248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X MD05156 MD Primary

Addresses

Primary practice location

1410 S Salisbury Blvd
Ste 3
Salisbury, MD 21801-7127

Mailing address

1410 S Salisbury Blvd
Ste 3
Salisbury, MD 21801-7127
Phone (410) 749-0248

Other identifiers 1

IdentifierTypeStateIssuer
141236OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

1410 S Salisbury Blvd
Ste 3
Salisbury, MD 21801
Phone (410) 749-0248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487687281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S SALISBURY BLVD",
            "address_2": "STE 3",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017127",
            "telephone_number": "410-749-0248",
            "fax_number": "410-749-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S SALISBURY BLVD",
            "address_2": "STE 3",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017127",
            "telephone_number": "410-749-0248",
            "fax_number": "410-749-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD J DORMER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORMER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR DORMER EMPLOYER",
        "authorized_official_telephone_number": "410-749-0248",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "MD05156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "141236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.