Individual provider Active NPI

Deborah A Caruso, DDS

  • Dentist
  • Annapolis, MD
National Provider Identifier
1730350273
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10561 Issued in MD
Practice address
1610 West St
Suite 202
Annapolis, MD 21401-4055
Phone
(410) 990-4800
Fax
(410) 990-4869
NPI assigned
Mar 12, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10561 MD Primary

Addresses

Primary practice location

1610 West St
Suite 202
Annapolis, MD 21401-4055

Mailing address

1610 West St
Suite 202
Annapolis, MD 21401-4055
Phone (410) 990-4800

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
I20210608003013 MD Order and Referring Only - DentistPractitioner - Dentist 5597164012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10561MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Cosmetic and Family Dentistry Dentist Past Accepting new patients
Chesapeake Family Dentistry Past Accepting new patients

Organizations & group practices 2

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": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1730350273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WEST ST",
            "address_2": "SUITE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014055",
            "telephone_number": "410-990-4800",
            "fax_number": "410-990-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WEST ST",
            "address_2": "SUITE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014055",
            "telephone_number": "410-990-4800",
            "fax_number": "410-990-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "10561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.