NPIMap

Organization Active NPI

People's Community Health Center

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1619154523
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEOPLE'S COMMUNITY HEALTH CENTER
Practice address
3011 Greenmount Ave
Baltimore, MD 21218-3939
Phone
(410) 467-6040
NPI assigned
Jan 23, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mrs. Patricia Cassatt, MS
Title
Chief Executive Officer
Phone
(410) 467-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3011 Greenmount Ave
Baltimore, MD 21218-3939

Mailing address

2524 Kirk Ave
Baltimore, MD 21218-4826
Phone (410) 467-6040

Other identifiers 1

IdentifierTypeStateIssuer
913904400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Peoples Community Health Center Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3011 Greenmount Ave
Baltimore, MD 21218

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1619154523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 KIRK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184826",
            "telephone_number": "410-467-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 GREENMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183939",
            "telephone_number": "410-467-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE'S COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "CASSATT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "410-467-6040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913904400",
            "state": "MD"
        }
    ],
    "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 May 22, 2008; 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.