Active NPI
Bethany Schiefer
- Dentist
- Baltimore, MD
National Provider Identifier
1649662586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8684
- Practice address
- 4173 Patterson Ave
Baltimore, MD 21215-2221 - Phone
- (443) 743-2110
- NPI assigned
- Mar 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15703 | MD | |
| Dentist | 122300000X | 8684 | SC | Primary |
Addresses
Primary practice location
4173 Patterson Ave
Baltimore, MD 21215-2221
Mailing address
8600 Dorchester Rd Ste 104
North Charleston, SC 29420-7382
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15703 | MD | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1649662586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 DORCHESTER RD STE 104",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4173 PATTERSON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212152221",
"telephone_number": "443-743-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIEFER",
"first_name": "BETHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15703",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8684",
"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 Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.