Horace Ainsley Freeman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15862 Issued in MD

Practice address

2992 Waldorf Market PL
Waldorf, MD 20603-4874

Phone

(301) 645-1344

NPI assigned

Jan 10, 2017

Last updated

Jan 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fusion Dental

  • Dentist
  • Waldorf, MD
  • NPI 1932266335
  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1710423074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 TOBAGO LN",
            "address_2": "APT 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141891",
            "telephone_number": "813-425-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2992 WALDORF MARKET PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034874",
            "telephone_number": "301-645-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "HORACE",
        "middle_name": "AINSLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeesha Antoinette Franklin, PA
• Frederick J Sauerburger MD PA
• Free Baltimore, LLC (Wholistic Behavioral Health)
• Free State Podiatry
• Alexis Nicole Freeman, RN, IBCLC
• Fresenius Medical Care Charles County, LLC (Fresenius Kidney Care Waldorf West)
• Fresenius Medical Care Southern Maryland Home, LLC (FMC Dialysis Services Waldorf)
• Nji Julius Fru
• Tanya Lynnette Fulton, SLP
• Aryielle Funderburk

• General Practice Dentistry in Waldorf, MD
• Providers in Waldorf, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.

Verify at the official NPI Registry.