Individual provider Active NPI

Maureen Heather Lefkoff, D.D.S.

  • Periodontics
  • Columbia, MD
National Provider Identifier
1538216015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D9802 Issued in MD
Practice address
8600 Snowden River Pkwy
Suite 204
Columbia, MD 21045-1982
Phone
(410) 992-6600
Fax
(410) 992-1616
NPI assigned
Jan 5, 2007
Sex
Female
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
Periodontics 1223P0300X D9802 MD Primary

Addresses

Primary practice location

8600 Snowden River Pkwy
Suite 204
Columbia, MD 21045-1982

Mailing address

8600 Snowden River Pkwy
Suite 204
Columbia, MD 21045-1982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 11, 2016 through May 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D9802MDMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538216015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451982",
            "telephone_number": "410-992-6600",
            "fax_number": "410-992-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFKOFF",
        "first_name": "MAUREEN",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "D9802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.