Active NPI
Danielle Waranch, DDS
- General Practice Dentistry
- Owings Mills, MD
National Provider Identifier
1740669290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15809
- Practice address
- 11300 Reisterstown Rd
Owings Mills, MD 21117-1812 - Phone
- (410) 356-4100
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15809 | MD | Primary |
Addresses
Primary practice location
11300 Reisterstown Rd
Owings Mills, MD 21117-1812
Mailing address
3738 Thoroughbred LN
Owings Mills, MD 21117-1251
Phone (410) 456-7585
Other practice location 1
1286 Maryland Rt 3 S Ste 7
Crofton, MD 21114-1340
Phone (410) 721-8200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150806011824 | MD | Order and Referring Only - Dentist | 6901110758 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15809 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendelson Family Dentistry, PA | General Practice | Current | Accepting new patients |
Locations
11300 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 354-4000
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.
-
- General Practice Dentistry
- Owings Mills, MD
- NPI 1134514615
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1740669290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3738 THOROUGHBRED LN",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171251",
"telephone_number": "410-456-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 REISTERSTOWN RD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171812",
"telephone_number": "410-356-4100"
}
],
"practiceLocations": [
{
"address_1": "1286 Maryland Rt 3 S Ste 7",
"address_purpose": "LOCATION",
"city": "Crofton",
"state": "MD",
"postal_code": "211141340",
"country_code": "US",
"telephone_number": "410-721-8200",
"fax_number": "410-721-7629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARANCH",
"first_name": "DANIELLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "15809",
"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 Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.