Individual provider Active NPI

Danielle Waranch, DDS

  • General Practice Dentistry
  • Owings Mills, MD
National Provider Identifier
1740669290
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15809 Issued in MD
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

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806011824 MD Order and Referring Only - DentistPractitioner - Dentist 6901110758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15809MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Family Dentistry, PA General Practice CurrentSince Apr 17, 2020 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.

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

Verify at the official NPI Registry.