Organization Active NPI

Ed Lazer DDS PC

  • General Practice Dentistry
  • Fallston, MD
National Provider Identifier
1740576552
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11199 Issued in MD
Legal business name
ED LAZER DDS PC
Practice address
1810 Bel Air Rd
Suite 201
Fallston, MD 21047-2729
Phone
(410) 877-7900
Fax
(410) 877-8455
NPI assigned
Jun 21, 2011
Last updated
Jun 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Ms. Taylor Shoffner
Title
Director of Operations
Phone
(410) 356-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11199 MD Primary

Addresses

Primary practice location

1810 Bel Air Rd
Suite 201
Fallston, MD 21047-2729

Mailing address

1810 Bel Air Rd
Suite 201
Fallston, MD 21047-2729
Phone (410) 877-7900

National Provider Directory

National Provider Directory

Locations

1810 Bel Air Rd
Ste 201
Fallston, MD 21047
Phone (410) 877-7900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1740576552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 BEL AIR RD",
            "address_2": "SUITE 201",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472729",
            "telephone_number": "410-877-7900",
            "fax_number": "410-877-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 BEL AIR RD",
            "address_2": "SUITE 201",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472729",
            "telephone_number": "410-877-7900",
            "fax_number": "410-877-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED LAZER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "SHOFFNER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "410-356-7799",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallston, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.