Active NPI
Ross I Couwenhoven, DDS, PHD
- Oral and Maxillofacial Pathology Dentistry
- Baltimore, MD
National Provider Identifier
1679862007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- LL597
- Practice address
- 650 W. Baltimore St., RM 7205
University of Maryland Dental School
Baltimore, MD 21201 - Phone
- (410) 706-7629
- NPI assigned
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | LL597 | MD | Primary |
Addresses
Primary practice location
650 W. Baltimore St., RM 7205
University of Maryland Dental School
Baltimore, MD 21201
Mailing address
650 W. Baltimore St., RM 7205
University of Maryland Dental School
Baltimore, MD 21201
Phone (410) 706-7629
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL597 | MD | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1679862007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 W. BALTIMORE ST., RM 7205",
"address_2": "UNIVERSITY OF MARYLAND DENTAL SCHOOL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-706-7629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W. BALTIMORE ST., RM 7205",
"address_2": "UNIVERSITY OF MARYLAND DENTAL SCHOOL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-706-7629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUWENHOVEN",
"first_name": "ROSS",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "DDS, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "MD",
"license": "LL597",
"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 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.