Organization Active NPI

Kevin Y. Myint, DDS

  • Dentist
  • Elkton, MD
National Provider Identifier
1720175946
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12530 Issued in MD
Legal business name
KEVIN Y. MYINT, DDS
Practice address
121 Big Elk Mall
Elkton, MD 21921-5912
Phone
(410) 398-9500
Fax
(410) 398-0427
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Kevin Y Myint, D.D.S.NPI 1336485416
Title
President
Phone
(410) 398-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 12530 MD Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 12461 MD

Addresses

Primary practice location

121 Big Elk Mall
Elkton, MD 21921-5912

Mailing address

2939 Airdrie Ave
Abingdon, MD 21009-2422
Phone (410) 569-0918

National Provider Directory

National Provider Directory

Locations

121 Big Elk Mall
Elkton, MD 21921
Phone (410) 398-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1720175946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 AIRDRIE AVE",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092422",
            "telephone_number": "410-569-0918",
            "fax_number": "410-398-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BIG ELK MALL",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215912",
            "telephone_number": "410-398-9500",
            "fax_number": "410-398-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN Y. MYINT, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "MYINT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-398-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12530",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "12461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.