Organization Active NPI

Nicholas E. Daniel DDS P.C.

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1699170290
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1001048 Issued in DC
Legal business name
NICHOLAS E. DANIEL DDS P.C.
Practice address
275 West St
Suite 105
Annapolis, MD 21401-3400
Phone
(410) 280-5370
Fax
(410) 280-5372
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Nicholas E Daniel, D.D.S
Title
President/Owner
Phone
(206) 249-3052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN1001048 DC Primary

Addresses

Primary practice location

275 West St
Suite 105
Annapolis, MD 21401-3400

Mailing address

275 West St
Suite 105
Annapolis, MD 21401-3400
Phone (410) 280-5370

Other identifiers 1

IdentifierTypeStateIssuer
1487930640MedicaidDC

National Provider Directory

National Provider Directory

Locations

275 West St
Ste 105
Annapolis, MD 21401
Phone (410) 280-5370

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1699170290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 WEST ST",
            "address_2": "SUITE 105",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013400",
            "telephone_number": "410-280-5370",
            "fax_number": "410-280-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 WEST ST",
            "address_2": "SUITE 105",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013400",
            "telephone_number": "410-280-5370",
            "fax_number": "410-280-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS E. DANIEL DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "206-249-3052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487930640",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.