NPIMap

Organization Active NPI

Healthy Dental of Baltimore LLC

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1528626447
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEALTHY DENTAL OF BALTIMORE LLC
Practice address
2103 W Patapsco Ave
Baltimore, MD 21230-2946
Phone
(410) 888-4000
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Madhu Venkata Rama Raju Nadimpalli, DDS, MPANPI 1003126137
Title
Owner/ General Dentist
Phone
(201) 257-7095

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2103 W Patapsco Ave
Baltimore, MD 21230-2946

Mailing address

7605 Golden Slumber LN
Elkridge, MD 21075-7602
Phone (201) 257-7095

National Provider Directory

National Provider Directory

Locations

2103 W Patapsco Ave
Baltimore, MD 21230
Phone (410) 888-4000

Practitioners & affiliated clinicians

Practitioners 6

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": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1528626447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 GOLDEN SLUMBER LN",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757602",
            "telephone_number": "201-257-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 W PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302946",
            "telephone_number": "410-888-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY DENTAL OF BALTIMORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "NADIMPALLI",
        "authorized_official_first_name": "MADHU VENKATA",
        "authorized_official_middle_name": "RAMA RAJU",
        "authorized_official_title_or_position": "OWNER/ GENERAL DENTIST",
        "authorized_official_telephone_number": "201-257-7095",
        "authorized_official_credential": "DDS, MPA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE 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 Jun 5, 2019; 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.