NPIMap

Organization Active NPI

Dr. Edward S. Lazer, D.D.S., P.C.

  • Dentist
  • Owings Mills, MD
National Provider Identifier
1669604245
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11199 Issued in MD
Legal business name
DR. EDWARD S. LAZER, D.D.S., P.C.
Practice address
5 Park Center CT
Suite 302
Owings Mills, MD 21117-4201
Phone
(410) 356-7799
Fax
(410) 356-4445
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Dr. Edward S Lazer, D.D.S.NPI 1528210747
Title
Owner
Phone
(410) 356-7799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 11199 MD Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8210 MD
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 13732 MD

Addresses

Primary practice location

5 Park Center CT
Suite 302
Owings Mills, MD 21117-4201

Mailing address

5 Park Center CT
Suite 302
Owings Mills, MD 21117-4201
Phone (410) 356-7799

Other names 1

  • Cosmetic and Advanced Dentistry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1669604245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK CENTER CT",
            "address_2": "SUITE 302",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174201",
            "telephone_number": "410-356-7799",
            "fax_number": "410-356-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK CENTER CT",
            "address_2": "SUITE 302",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174201",
            "telephone_number": "410-356-7799",
            "fax_number": "410-356-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWARD S. LAZER, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "LAZER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-356-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "11199",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "8210",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "13732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic and Advanced Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.