Active NPI
Anita Lockhart, DDS
- Dentist
- Edgewater, MD
National Provider Identifier
1518230366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8656
- Practice address
- 4175 Carvel LN
Edgewater, MD 21037-4604 - Phone
- (443) 864-3512
- NPI assigned
- Feb 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8656 | MD | Primary |
Addresses
Primary practice location
4175 Carvel LN
Edgewater, MD 21037-4604
Mailing address
4175 Carvel LN
Edgewater, MD 21037-4604
Phone (443) 864-3512
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151204000791 | MD | Order and Referring Only - Dentist | 3476853987 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8656 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1518230366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 CARVEL LN",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210374604",
"telephone_number": "443-864-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 CARVEL LN",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210374604",
"telephone_number": "443-864-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "ANITA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "8656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.