Individual provider Active NPI

Paul D Chizmar, DDS

  • Dentist
  • Conowingo, MD
National Provider Identifier
1720113194
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7231 Issued in MD
Practice address
49 Rock Springs Rd
Conowingo, MD 21918-1352
Phone
(410) 378-9696
Fax
(410) 378-0787
NPI assigned
Feb 23, 2007
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7231 MD Primary

Addresses

Primary practice location

49 Rock Springs Rd
Conowingo, MD 21918-1352

Mailing address

PO Box 99
Conowingo, MD 21918-0099
Phone (410) 378-9696

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
I20160927000966 MD Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7517112048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7231MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Air Volunteer Fire Company, Inc. PastSince Dec 4, 2012 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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1720113194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219180099",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ROCK SPRINGS RD",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219181352",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIZMAR",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "7231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conowingo, MD

Sources for this page

Verify at the official NPI Registry.