NPIMap

Organization Active NPI

Nova Dental PC

  • Dentist
  • Owings Mills, MD
National Provider Identifier
1508210857
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11190 Issued in MD
Legal business name
NOVA DENTAL PC
Practice address
4 Park Center CT
Suite # 201
Owings Mills, MD 21117-5611
Phone
(410) 363-6868
Fax
(410) 363-6944
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Dr. Dmitry Nova, DDSNPI 1437360666
Title
President
Phone
(443) 465-2047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 16079 MD
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 11190 MD Primary

Addresses

Primary practice location

4 Park Center CT
Suite # 201
Owings Mills, MD 21117-5611

Mailing address

4 Park Center CT
Suite # 201
Owings Mills, MD 21117-5611
Phone (410) 363-6868

Other names 1

  • Park Heights Dental Center Former legal business name

National Provider Directory

National Provider Directory

Locations

4 Park Center Ct
Ste 201
Owings Mills, MD 21117
Phone (410) 363-6868

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": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1508210857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER CT",
            "address_2": "SUITE # 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175611",
            "telephone_number": "410-363-6868",
            "fax_number": "410-363-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER CT",
            "address_2": "SUITE # 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175611",
            "telephone_number": "410-363-6868",
            "fax_number": "410-363-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "NOVA",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-465-2047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "16079",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "11190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Heights Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.