Individual provider Active NPI

Elimelech Katz, D.M.D.

  • Dentist
  • Towson, MD
National Provider Identifier
1699188599
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16187 Issued in MD
Practice address
8422 Bellona LN Ste 206
Towson, MD 21204-2057
Phone
(410) 828-8828
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040097 PA
Dentist 122300000X 16187 MD Primary

Addresses

Primary practice location

8422 Bellona LN Ste 206
Towson, MD 21204-2057

Mailing address

8422 Bellona LN Ste 206
Towson, MD 21204-2057
Phone (845) 709-9382

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

LicenseStateTypeSpecialty
16187MDMDDentist
DS040097PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elimelech Katz, DMD, LLC CurrentSince Jan 8, 2023 Accepting new patients
Finney Family Dental LLC General Practice PastSince Jan 8, 2023 Accepting new patients

Locations

8422 Bellona Ln
Ste 206
Towson, MD 21204
Phone (410) 828-8828

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1699188599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 BELLONA LN STE 206",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042057",
            "telephone_number": "845-709-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 BELLONA LN STE 206",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042057",
            "telephone_number": "410-828-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "ELIMELECH",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040097",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.