Cumberland Oral & Maxillofacial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CUMBERLAND ORAL & MAXILLOFACIAL SURGERY LLC

Practice address

1715 Frederick St
Cumberland, MD 21502-1037

Phone

(301) 722-3205

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Joanie Klipstein

Title

Manager

Phone

(301) 722-3205

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenrick Hamilton Roberts, MD

  • Dermatology Physician
  • Cumberland, MD
  • NPI 1386637122
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1679762652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 FREDERICK ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021037",
            "telephone_number": "301-722-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FREDERICK ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021037",
            "telephone_number": "301-722-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND ORAL & MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "KLIPSTEIN",
        "authorized_official_first_name": "JOANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-722-3205"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cumberland Manor Health Care LLC
• Cumberland Manor Health Care LLC
• Cumberland Nephrology & Internal Medicine P a
• Cumberland Nursing and Rehab Center LLC
• Cumberland Optical
• Cumberland Orthopedic Surgical Center LLC
• Cumberland Shoulder Specialists PC
• Cumberland Urology ASC, L.L.C.
• Cumberland Urology, Inc.
• Cumberland Valley Family Medicine LLC

• Oral and Maxillofacial Surgery (Dentist) in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.