Active NPI
Todd Edward Patton, D.D.S
- General Practice Dentistry
- Annapolis, MD
National Provider Identifier
1710090873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13758
- Practice address
- 104 Forbes St
Suite 204
Annapolis, MD 21401-1516 - Phone
- (410) 925-9779
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 19, 2010
- Sex
- Male
- 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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231218002821 | MD | Order and Referring Only - Dentist | 0143515916 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13758 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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
- Patient Care Pharmacy Inc (Patient Care Pharmacy)
- Patient First Maryland Medical Group (Patient First)
- Patient First Maryland Medical Group PLLC
- Bryanna Patterson, MD
- Chad Matthew Patton, M.D.
- Paul Mackoul MD (Women Surgery Center)
- Lauren Paul, MS,OTR/L
- Margaret Ann Pauliukonis, MD
- Kimberly Paulo
- Melissa Paulo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.