Individual provider Active NPI

Cynthia L Sclater, DMD

  • General Practice Dentistry
  • Dunkirk, MD
National Provider Identifier
1487830865
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13294 Issued in MD
Practice address
10345 Southern Maryland Blvd
Suite 211
Dunkirk, MD 20754-3022
Phone
(410) 257-2424
Fax
(301) 855-8373
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13294 MD Primary

Addresses

Primary practice location

10345 Southern Maryland Blvd
Suite 211
Dunkirk, MD 20754-3022

Mailing address

10345 Southern Maryland Blvd
Suite 211
Dunkirk, MD 20754-3022
Phone (410) 257-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20170913000108 MD Order and Referring Only - DentistPractitioner - Dentist 1355614355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
13294MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1487830865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 SOUTHERN MARYLAND BLVD",
            "address_2": "SUITE 211",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543022",
            "telephone_number": "410-257-2424",
            "fax_number": "301-855-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 SOUTHERN MARYLAND BLVD",
            "address_2": "SUITE 211",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543022",
            "telephone_number": "410-257-2424",
            "fax_number": "301-855-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCLATER",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, MD

Sources for this page

Verify at the official NPI Registry.