Organization Active NPI

Lawrence Abraham Amsterdam DMD PA

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1558490847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAWRENCE ABRAHAM AMSTERDAM DMD PA
Practice address
1528 Country Ridge LN
Baltimore, MD 21221-3906
Phone
(410) 574-1555
Fax
(410) 574-8483
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lawrence Abraham Amsterdam, DMD
Title
Dentist Owner
Phone
(410) 574-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1528 Country Ridge LN
Baltimore, MD 21221-3906

Mailing address

1528 Country Ridge Lane
Baltimore, MD 21221-3906
Phone (410) 574-1555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558490847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 COUNTRY RIDGE LANE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212213906",
            "telephone_number": "410-574-1555",
            "fax_number": "410-574-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 COUNTRY RIDGE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212213906",
            "telephone_number": "410-574-1555",
            "fax_number": "410-574-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE ABRAHAM AMSTERDAM DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMSTERDAM",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "410-574-1555",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-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 Aug 22, 2020; 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.