Active NPI
Bernard L. Greenbaum, DDS, PC
- Point of Service
- Bethesda, MD
National Provider Identifier
1750651766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 7748
- Legal business name
- BERNARD L. GREENBAUM, DDS, PC
- Practice address
- 6410 Rockledge Dr
106
Bethesda, MD 20817-1809 - Phone
- (310) 530-3600
- NPI assigned
- Jan 6, 2012
- Last updated
- Jan 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard Greenbaum, DDS
- Title
- Dentist
- Phone
- (301) 530-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 7748 | MD | Primary |
Addresses
Primary practice location
6410 Rockledge Dr
106
Bethesda, MD 20817-1809
Mailing address
6410 Rockledge Dr
106
Bethesda, MD 20817-1809
Phone (310) 530-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6362480001 | Other | MD | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043157 | MD | DME Supplier - Oral Surgery - Dentist | 4587854575 | Practice locations: Bethesda, MD |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Bethesda, MD
- NPI 1265560346
-
- Dentist
- Washington, DC
- NPI 1477912020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325808000000",
"number": "1750651766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR",
"address_2": "106",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171809",
"telephone_number": "310-530-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR",
"address_2": "106",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171809",
"telephone_number": "310-530-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNARD L. GREENBAUM, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A",
"authorized_official_last_name": "GREENBAUM",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "301-530-3600",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "MD",
"license": "7748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "6362480001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.