NPIMap

Organization Active NPI

Chesapeake Endodontics Center LLC

  • Endodontics
  • Annapolis, MD
National Provider Identifier
1508915802
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
CHESAPEAKE ENDODONTICS CENTER LLC
Practice address
888 Bestgate Rd
Suite 213
Annapolis, MD 21401
Phone
(410) 224-7556
Fax
(410) 224-4206
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Jeffery Oliver Luzader, ENDODONTIST DDSNPI 1952645012
Title
Member
Phone
(410) 224-7556

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

888 Bestgate Rd
Suite 213
Annapolis, MD 21401

Mailing address

888 Bestgate Rd
#213
Annapolis, MD 21401
Phone (410) 224-7556

National Provider Directory

National Provider Directory

Locations

888 Bestgate Rd
Ste 213
Annapolis, MD 21401
Phone (410) 224-7556

Practitioners & affiliated clinicians

Practitioners 1

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1508915802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 BESTGATE RD",
            "address_2": "#213",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-224-7556",
            "fax_number": "410-224-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 BESTGATE RD",
            "address_2": "SUITE 213",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-224-7556",
            "fax_number": "410-224-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE ENDODONTICS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "LUZADER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-224-7556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ENDODONTIST DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "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 Aug 15, 2007; 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.