NPIMap

Individual provider Active NPI

Dana Aubert Truesdale, DDS

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1548239700
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15061 Issued in MD
Practice address
1001 Fleet St Ste R
Baltimore, MD 21202-4371
Phone
(104) 385-9966
Fax
(410) 383-1988
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15061 MD
General Practice Dentistry 1223G0001X 0401411000 VA
General Practice Dentistry 1223G0001X 15061 MD Primary

Addresses

Primary practice location

1001 Fleet St Ste R
Baltimore, MD 21202-4371

Mailing address

1001 Fleet Street
Unit R
Baltimore, MD 21202
Phone (410) 385-9966

Other practice location 1

1111 Park Ave Ste L109
Baltimore, MD 21201-5651
Phone (443) 708-3232

Other identifiers 1

IdentifierTypeStateIssuer
9180526MedicaidVA

Other names 1

  • Dr. Dana Theresa Aubert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15061MDMDGeneral Practice Dentistry
0401411000VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Express Dental Emergency Services, LLC General Practice Current Accepting new patients
Innovation Dental Center, LLC General Practice CurrentSince Oct 22, 2023 Accepting new patients
Elite Legacy Collective, LLC Current Accepting new patients
Harbor East Dental General Practice PastSince Oct 22, 2023 Accepting new patients
Lisa M. Valentine, D.D.S LLC Dentist Past Accepting new patients

Locations

1001 Fleet St
Ste R
Baltimore, MD 21202
Phone (410) 385-9966

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1548239700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 FLEET STREET",
            "address_2": "UNIT R",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-385-9966",
            "fax_number": "410-383-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FLEET ST STE R",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024371",
            "telephone_number": "104-385-9966",
            "fax_number": "410-383-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Park Ave Ste L109",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015651",
            "country_code": "US",
            "telephone_number": "443-708-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUESDALE",
        "first_name": "DANA",
        "middle_name": "AUBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15061",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411000",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9180526",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "AUBERT",
            "middle_name": "THERESA",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 18, 2023; 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.