NPIMap

Organization Active NPI

Dental One Associates Kenilworth LLC

  • Dentist
  • Towson, MD
National Provider Identifier
1700208956
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL ONE ASSOCIATES KENILWORTH LLC
Practice address
658 Kenilworth Dr
210
Towson, MD 21204-2312
Phone
(410) 821-1551
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Mike Cole
Title
VP Insurance Plan Management
Phone
(727) 726-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X MD Primary

Addresses

Primary practice location

658 Kenilworth Dr
210
Towson, MD 21204-2312

Mailing address

658 Kenilworth Dr
210
Towson, MD 21204-2312

National Provider Directory

National Provider Directory

Locations

658 Kenilworth Dr
Ste 210
Towson, MD 21204
Phone (410) 821-1551

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1700208956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 KENILWORTH DR",
            "address_2": "210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 KENILWORTH DR",
            "address_2": "210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042312",
            "telephone_number": "410-821-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ONE ASSOCIATES KENILWORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": null,
            "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 7, 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.