Individual provider Active NPI

Delia S. Chitimus, D.D.S.

  • Dentist
  • Westminster, MD
National Provider Identifier
1578870259
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14394 Issued in MD
Practice address
603 Nursery Rd
Westminster, MD 21157-6109
Phone
(410) 848-5577
Fax
(410) 876-3760
NPI assigned
Sep 2, 2010
Last updated
Sep 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14394 MD Primary

Addresses

Primary practice location

603 Nursery Rd
Westminster, MD 21157-6109

Mailing address

10420 Swift Stream PL Apt 106
Columbia, MD 21044-4584
Phone (443) 631-4765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000264 MD Order and Referring Only - DentistPractitioner - Dentist 1658682596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates L.L.C. Past Accepting new patients
Carroll County Dental Associates, LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1578870259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 SWIFT STREAM PL APT 106",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444584",
            "telephone_number": "443-631-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NURSERY RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576109",
            "telephone_number": "410-848-5577",
            "fax_number": "410-876-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITIMUS",
        "first_name": "DELIA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.