Organization Active NPI

A Diamond and Asocc PA

  • Dentist
  • Baltimore, MD
National Provider Identifier
1720173792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7217 Issued in MD
Legal business name
A DIAMOND AND ASOCC PA
Practice address
6666 Security Blvd
Baltimore, MD 21207
Phone
(410) 944-6666
Fax
(410) 944-1046
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Audley Diamond, DDS
Title
Dental Director
Phone
(410) 944-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7217 MD Primary

Addresses

Primary practice location

6666 Security Blvd
Baltimore, MD 21207

Mailing address

6666 Security Blvd
Baltimore, MD 21207
Phone (410) 944-6666

Other names 1

  • A Diamond Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720173792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 SECURITY BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21207",
            "telephone_number": "410-944-6666",
            "fax_number": "410-944-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 SECURITY BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21207",
            "telephone_number": "410-944-6666",
            "fax_number": "410-944-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DIAMOND AND ASOCC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "AUDLEY",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "410-944-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "7217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Diamond Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.