NPIMap

Organization Active NPI

Chesapeake Cosmetic and Family Dentistry

  • Dentist
  • Annapolis, MD
National Provider Identifier
1497923932
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13227 Issued in MD
Legal business name
CHESAPEAKE COSMETIC AND FAMILY DENTISTRY
Practice address
1610 West St
Suite 202
Annapolis, MD 21401-4055
Phone
(410) 990-4800
Fax
(410) 990-4869
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Jean Prescimone
Title
Practice Administrator
Phone
(410) 990-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13227 MD Primary

Addresses

Primary practice location

1610 West St
Suite 202
Annapolis, MD 21401-4055

Mailing address

1610 West St
Suite 202
Annapolis, MD 21401-4055
Phone (410) 990-4800

National Provider Directory

National Provider Directory

Locations

1610 West St
Ste 202
Annapolis, MD 21401
Phone (410) 280-5370

Practitioners & affiliated clinicians

Practitioners 4

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1497923932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WEST ST",
            "address_2": "SUITE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014055",
            "telephone_number": "410-990-4800",
            "fax_number": "410-990-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WEST ST",
            "address_2": "SUITE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014055",
            "telephone_number": "410-990-4800",
            "fax_number": "410-990-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE COSMETIC AND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "PRESCIMONE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "410-990-4800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.