Individual provider Active NPI

Todd Edward Patton, D.D.S

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1710090873
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13758 Issued in MD
Practice address
104 Forbes St
Suite 204
Annapolis, MD 21401-1516
Phone
(410) 925-9779
NPI assigned
Aug 15, 2006
Last updated
Jul 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13758 MD Primary

Addresses

Primary practice location

104 Forbes St
Suite 204
Annapolis, MD 21401-1516

Mailing address

104 Forbes St
Suite 204
Annapolis, MD 21401-1516
Phone (410) 925-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218002821 MD Order and Referring Only - DentistPractitioner - Dentist 0143515916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13758MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Todd E. Patton DDS, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1710090873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FORBES ST",
            "address_2": "SUITE 204",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011516",
            "telephone_number": "410-925-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FORBES ST",
            "address_2": "SUITE 204",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011516",
            "telephone_number": "410-925-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "TODD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.