Active NPI
Alice Oh
- General Practice Dentistry
- Woodbine, MD
National Provider Identifier
1699147454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15578
- Practice address
- 708 Lisbon Center Dr
Ste a & B
Woodbine, MD 21797-8633 - Phone
- (410) 489-2650
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15578 | MD | Primary |
Addresses
Primary practice location
708 Lisbon Center Dr
Ste a & B
Woodbine, MD 21797-8633
Mailing address
708 Lisbon Center Dr
Ste a & B
Woodbine, MD 21797-8633
Phone (410) 489-2650
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15578 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1699147454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 LISBON CENTER DR",
"address_2": "STE A & B",
"city": "WOODBINE",
"state": "MD",
"postal_code": "217978633",
"telephone_number": "410-489-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 LISBON CENTER DR",
"address_2": "STE A & B",
"city": "WOODBINE",
"state": "MD",
"postal_code": "217978633",
"telephone_number": "410-489-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "15578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.