Organization Active NPI

Paul D. Chizmar DDS PA

  • General Practice Dentistry
  • Havre de Grace, MD
National Provider Identifier
1609973775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PAUL D. CHIZMAR DDS PA
Practice address
333 Green St
Havre de Grace, MD 21078
Phone
(410) 939-4030
Fax
(410) 939-3863
NPI assigned
Sep 20, 2006
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
Dr. Paul D. Chizmar, D.D.S.
Title
Owner
Phone
(410) 939-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

333 Green St
Havre de Grace, MD 21078

Mailing address

333 Green St
Havre de Grace, MD 21078
Phone (410) 939-4030

National Provider Directory

National Provider Directory

Locations

333 Green St
Havre de Grace, MD 21078
Phone (410) 939-4030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609973775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GREEN ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "410-939-4030",
            "fax_number": "410-939-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GREEN ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "410-939-4030",
            "fax_number": "410-939-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. CHIZMAR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIZMAR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-939-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, 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.