Individual provider Active NPI

Leonard L Maranto, DDS

  • General Practice Dentistry
  • Towson, MD
National Provider Identifier
1508935354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04048 Issued in MD
Practice address
300 East Joppa Road
Suite 316
Towson, MD 21286-3004
Phone
(410) 823-3373
Fax
(410) 823-5276
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 04048 MD Primary

Addresses

Primary practice location

300 East Joppa Road
Suite 316
Towson, MD 21286-3004

Mailing address

300 East Joppa Road
Suite 316
Towson, MD 21286-3004
Phone (410) 823-3373

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
I20151110000641 MD Order and Referring Only - DentistPractitioner - Dentist 3173833886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04048MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508935354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST JOPPA ROAD",
            "address_2": "SUITE 316",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863004",
            "telephone_number": "410-823-3373",
            "fax_number": "410-823-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST JOPPA ROAD",
            "address_2": "SUITE 316",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863004",
            "telephone_number": "410-823-3373",
            "fax_number": "410-823-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANTO",
        "first_name": "LEONARD",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "04048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.