Organization Active NPI

Oral Surgery of Maryland, LLC Jerome Casper Sole MBR

  • Oral and Maxillofacial Surgery Clinic/Center
  • Baltimore, MD
National Provider Identifier
1528628401
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
ORAL SURGERY OF MARYLAND, LLC JEROME CASPER SOLE MBR
Practice address
2 Hamill Rd Ste 266
Baltimore, MD 21210-1894
Phone
(410) 435-8100
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Jo Ann Rice
Title
Credentialing Director
Phone
(470) 881-8679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

2 Hamill Rd Ste 266
Baltimore, MD 21210-1894

Mailing address

2970 Brandywine Rd Ste 200
Atlanta, GA 30341-5549
Phone (470) 881-8679

National Provider Directory

National Provider Directory
Tax ID family
Oral Surgery of Maryland LLC Jerome Casper Sole MBR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1350 Spring St NW
Ste 600
Atlanta, GA 30309

2 Hamill Rd
Ste 266
Baltimore, MD 21210
Phone (410) 435-8400

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1528628401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415549",
            "telephone_number": "470-881-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD STE 266",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101894",
            "telephone_number": "410-435-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY OF MARYLAND, LLC JEROME CASPER SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "470-881-8679"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "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 Nov 24, 2025; 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.