Amy Marlene Respondek, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

16739 Issued in MD

Practice address

6798 Oak Hall LN Ste A1
Columbia, MD 21045-5167

Phone

(410) 290-7757

Fax

(410) 290-8812

NPI assigned

Aug 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Akeso Orafacial Maxillary Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Nottingham, MD
  • NPI 1245742741
  NPD (past)
• Dr Bernard Krupp, DDS, Oms, PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Towson, MD
  • NPI 1023001641
  NPD (past)

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1487800918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12722 TEABERRY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209063365",
            "telephone_number": "586-202-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6798 OAK HALL LN STE A1",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455167",
            "telephone_number": "410-290-7757",
            "fax_number": "410-290-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Krupp Center",
            "address_2": "1220B Joppa Rd STE 314",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "21286",
            "country_code": "US",
            "telephone_number": "410-583-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Pine Dentistry",
            "address_2": "6471 Malboro Pike",
            "address_purpose": "LOCATION",
            "city": "District Heights",
            "state": "MD",
            "postal_code": "20747",
            "country_code": "US",
            "telephone_number": "301-568-2029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7544 Belair Rd",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212364108",
            "country_code": "US",
            "telephone_number": "410-665-2500",
            "fax_number": "410-665-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESPONDEK",
        "first_name": "AMY",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16739",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019804",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901019804",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "16739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Your Mind Wellness Services LLC
• Alex P Rennich, LCPC
• Rachel E Rentch, LCSW-C
• Rebecca Renzi
• Jessica Ann Resch, M.AC., L.AC.
• Lauren Restaino, CRNP
• Restore & Thrive LLC.
• Cristina Restrepo-Harner
• Revered-Holistic Healthcare LLC
• Revered-Holistic Healthcare LLC

• Oral and Maxillofacial Surgery (Dentist) in Columbia, MD
• Providers in Columbia, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.