Organization Active NPI

East Point Pediatric Dental Associates

  • Pediatric Dentistry
  • Baltimore, MD
National Provider Identifier
1548788730
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
EAST POINT PEDIATRIC DENTAL ASSOCIATES
Practice address
1001 N Point Blvd Ste 503
Baltimore, MD 21224-3413
Phone
(410) 282-8900
Fax
(410) 282-1126
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Authorized official

Name
Dr. Warren A Brill, DMD
Title
Pediatric Dentist
Phone
(410) 282-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X MD Primary

Addresses

Primary practice location

1001 N Point Blvd Ste 503
Baltimore, MD 21224-3413

Mailing address

1001 N Point Blvd Ste 503
Baltimore, MD 21224-3413
Phone (410) 282-8900

Other identifiers 1

IdentifierTypeStateIssuer
418644300MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
East Point Pediatric Dental Associates2 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

1001 N Point Blvd
Ste 503
Baltimore, MD 21224
Phone (410) 282-8900

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1548788730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N POINT BLVD STE 503",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243413",
            "telephone_number": "410-282-8900",
            "fax_number": "410-282-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N POINT BLVD STE 503",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243413",
            "telephone_number": "410-282-8900",
            "fax_number": "410-282-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST POINT PEDIATRIC DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "410-282-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418644300",
            "state": "MD"
        }
    ],
    "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 Sep 7, 2017; 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.