Active NPI
Renata Osinovskaya, D.M.D.
- General Practice Dentistry
- Baltimore, MD
National Provider Identifier
1649449109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13943
- Practice address
- 1501 Division St
Baltimore, MD 21217-3121 - Phone
- (410) 728-5522
- Fax
- (410) 728-6181
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13943 | MD | Primary |
Addresses
Primary practice location
1501 Division St
Baltimore, MD 21217-3121
Mailing address
6028 Avon Dr
Bethesda, MD 20814-2250
Phone (301) 256-8604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1649449109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6028 AVON DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142250",
"telephone_number": "301-256-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 DIVISION ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212173121",
"telephone_number": "410-728-5522",
"fax_number": "410-728-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSINOVSKAYA",
"first_name": "RENATA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "13943",
"primary": true
}
],
"identifiers": [],
"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 Feb 28, 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.