NPIMap

Individual provider Active NPI

Marshall I Madow, D.D.S.

  • Dentist
  • Owings Mills, MD
National Provider Identifier
1740412220
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8210 Issued in MD
Practice address
5 Park Center CT
Suite 302
Owings Mills, MD 21117-4201
Phone
(410) 356-7799
Fax
(410) 356-4445
NPI assigned
Aug 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8210 MD Primary

Addresses

Primary practice location

5 Park Center CT
Suite 302
Owings Mills, MD 21117-4201

Mailing address

5 Park Center CT
Suite 302
Owings Mills, MD 21117-4201
Phone (410) 356-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8210MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Edward S. Lazer, D.D.S., P.C. Dentist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1740412220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK CENTER CT",
            "address_2": "SUITE 302",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174201",
            "telephone_number": "410-356-7799",
            "fax_number": "410-356-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK CENTER CT",
            "address_2": "SUITE 302",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174201",
            "telephone_number": "410-356-7799",
            "fax_number": "410-356-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADOW",
        "first_name": "MARSHALL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "8210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.