Individual provider Active NPI

Charles P. McCausland III, D.D.S.

  • General Practice Dentistry
  • Towson, MD
National Provider Identifier
1619122272
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4630 Issued in MD
Practice address
312 W Chesapeake Ave
Towson, MD 21204-4410
Phone
(410) 823-7910
Fax
(410) 583-5541
NPI assigned
Nov 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4630 MD Primary

Addresses

Primary practice location

312 W Chesapeake Ave
Towson, MD 21204-4410

Mailing address

312 W Chesapeake Ave
Towson, MD 21204-4410
Phone (410) 823-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1619122272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W CHESAPEAKE AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044410",
            "telephone_number": "410-823-7910",
            "fax_number": "410-583-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W CHESAPEAKE AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044410",
            "telephone_number": "410-823-7910",
            "fax_number": "410-583-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAUSLAND",
        "first_name": "CHARLES",
        "middle_name": "P.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "4630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.