Individual provider Active NPI

Dov Asher Elman, DDS, MMSC

  • Dentist
  • Columbia, MD
National Provider Identifier
1639504558
Registry record updated Mar 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856593 Issued in MA
Practice address
8808 Centre Park Dr Ste 210
Columbia, MD 21045-2221
Phone
(443) 756-7887
NPI assigned
Sep 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 15916 MD
Dentist 122300000X DN1856593 MA Primary

Addresses

Primary practice location

8808 Centre Park Dr Ste 210
Columbia, MD 21045-2221

Mailing address

8808 Centre Park Dr Ste 210
Columbia, MD 21045-2221
Phone (443) 756-7887

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
I20161227000697 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597046938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856593MAMDDentist
15916MDMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552780800000",
    "number": "1639504558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 CENTRE PARK DR STE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452221",
            "telephone_number": "443-756-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 CENTRE PARK DR STE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452221",
            "telephone_number": "443-756-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMAN",
        "first_name": "DOV",
        "middle_name": "ASHER",
        "name_prefix": "Dr.",
        "credential": "DDS, MMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2019-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "15916",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.