Active NPI
Kevin Y. Myint, DDS
- Dentist
- Elkton, MD
National Provider Identifier
1720175946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12530
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12530 | MD | Primary |
| Periodontics | 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 DirectoryLocations
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.
-
- Dentist
- Elkton, MD
- NPI 1336485416
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.