Organization Active NPI

Dental Group of Baltimore City

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1508551318
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL GROUP OF BALTIMORE CITY
Practice address
300 N Charles St Ste D
Baltimore, MD 21201-4305
Phone
(410) 685-0002
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Vladimir Semerey
Title
Manager
Phone
(443) 980-8263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

300 N Charles St Ste D
Baltimore, MD 21201-4305

Mailing address

300 N Charles St Ste D
Baltimore, MD 21201-4305
Phone (410) 685-0002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1508551318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N CHARLES ST STE D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014305",
            "telephone_number": "410-685-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N CHARLES ST STE D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014305",
            "telephone_number": "410-685-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF BALTIMORE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "SEMEREY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-980-8263"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.