NPIMap

Individual provider Active NPI

Michael T Virts, DDS

  • Pediatric Dentistry
  • Hagerstown, MD
National Provider Identifier
1679732366
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14234 Issued in MD
Practice address
1150 Omega Dr Ste 102
Hagerstown, MD 21740-5784
Phone
(240) 513-6161
NPI assigned
Jun 6, 2008
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 14234 MD Primary

Addresses

Primary practice location

1150 Omega Dr Ste 102
Hagerstown, MD 21740-5784

Mailing address

77 Thomas Johnson Dr Ste a
Frederick, MD 21702-4893
Phone (301) 682-3887

Other practice location 1

77 Thomas Johnson Dr Ste A
Frederick, MD 21702-4893
Phone (301) 682-3887

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virts Pediatric Dentistry, LLC Pediatric Dentistry CurrentSince Sep 3, 2025 Accepting new patients
Virts Pediatric Dentistry, LLC Pediatric Dentistry CurrentSince Dec 29, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

77 Thomas Johnson Dr
Ste A
Frederick, MD 21702
Phone (301) 682-3887

1150 Omega Dr
Ste 102
Hagerstown, MD 21740
Phone (240) 513-6161

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1679732366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-682-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 OMEGA DR STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405784",
            "telephone_number": "240-513-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Thomas Johnson Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024893",
            "country_code": "US",
            "telephone_number": "301-682-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRTS",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.