Burton Mark Waxman, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6731 Issued in MD

Practice address

5058 Dorsey Hall Dr Ste 102
Ellicott City, MD 21042-7850

Phone

(410) 740-3636

Fax

(410) 740-9077

NPI assigned

Jul 26, 2006

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: burton.waxman.1@20853.direct.athenahealth.com

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.

• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Denton, MD
  • NPI 1356388599
  Medicare reassignment NPD
• Choptank Community Health System Inc

  dba Federalsburg Health Center

  • Federally Qualified Health Center (FQHC)
  • Federalsburg, MD
  • NPI 1306678537
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1598789216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13815 LAKESIDE DR",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5058 DORSEY HALL DR STE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427850",
            "telephone_number": "410-740-3636",
            "fax_number": "410-740-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "MD",
            "postal_code": "216291398",
            "country_code": "US",
            "telephone_number": "410-479-2650",
            "fax_number": "833-916-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "BURTON",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "6731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Paul Wasserman, M.D.
• Watermont Pharmacy
• Brian Avery Watson, PT
• Elizabeth Watson
• Pei-Yu Katherine Watts, CRNA
• Way Station, Inc.
• WBMW Wellness Center LLC
• Ruth Angela Fahnestock Webb, FNP
• Brenda Maureen Weber, MD
• Alexandra Kennedy Webster, RN, IBCLC

• Endodontics in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.