NPIMap

Organization Active NPI

Maya a. Vernon, DDS, LLC

  • Pediatric Dentistry
  • Severna Park, MD
National Provider Identifier
1699064550
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12948 Issued in MD
Legal business name
MAYA A. VERNON, DDS, LLC
Practice address
900 Ritchie Hwy
Suite 101
Severna Park, MD 21146-4142
Phone
(410) 544-4888
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Dr. Maya Alqueza Vernon, D.D.S.NPI 1154449098
Title
Pediatric Dentist
Phone
(410) 544-4888

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12948 MD Primary

Addresses

Primary practice location

900 Ritchie Hwy
Suite 101
Severna Park, MD 21146-4142

Mailing address

900 Ritchie Hwy
Suite 101
Severna Park, MD 21146-4142
Phone (410) 544-4888

Other names 1

  • Vernon Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

900 Ritchie Hwy
Ste 101
Severna Park, MD 21146
Phone (410) 544-4888

Practitioners & affiliated clinicians

Practitioners 1

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": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1699064550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RITCHIE HWY",
            "address_2": "SUITE 101",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464142",
            "telephone_number": "410-544-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RITCHIE HWY",
            "address_2": "SUITE 101",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464142",
            "telephone_number": "410-544-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA A. VERNON, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "ALQUEZA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "410-544-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "12948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernon Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.