NPIMap

Organization Active NPI

Greater Baden Medical Service Incorporated

  • Dental Clinic/Center
  • Oxon Hill, MD
National Provider Identifier
1669992814
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREATER BADEN MEDICAL SERVICE INCORPORATED
Practice address
6196 Oxon Hill Rd Ste 540
Oxon Hill, MD 20745-3112
Phone
(301) 686-1665
Fax
(301) 686-1779
NPI assigned
Jun 20, 2017
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER BADEN MEDICAL SERVICE INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Jeffrey A Kurcab
Title
Cfo
Phone
(301) 599-2172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Federally Qualified Health Center (FQHC) 261QF0400X NU

Addresses

Primary practice location

6196 Oxon Hill Rd Ste 540
Oxon Hill, MD 20745-3112

Mailing address

7450 Albert Rd FL 3
Brandywine, MD 20613-3035
Phone (300) 888-2233

Other names 1

  • Greater Baden Medical Service at Oxon Hill - Dental Other name

National Provider Directory

National Provider Directory
Tax ID family
Greater Baden Medical Service Inc15 organizations share this tax ID, including this one
Part of
Greater Baden Medical Service Inc

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1669992814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 ALBERT RD FL 3",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133035",
            "telephone_number": "300-888-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD STE 540",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453112",
            "telephone_number": "301-686-1665",
            "fax_number": "301-686-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BADEN MEDICAL SERVICE INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER BADEN MEDICAL SERVICE INCORPORATED",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "KURCAB",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-599-2172"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Baden Medical Service at Oxon Hill - Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.