NPIMap

Organization Active NPI

Fusion Dental

  • Dentist
  • Laurel, MD
National Provider Identifier
1750757597
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10965 Issued in MD
Legal business name
FUSION DENTAL
Practice address
14722 Baltimore Ave
Suite 103
Laurel, MD 20707-4872
Phone
(301) 843-9330
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Mrs. Christi Kalin Lathrop
Title
Insurance Coordinator
Phone
(301) 645-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 10965 MD Primary

Addresses

Primary practice location

14722 Baltimore Ave
Suite 103
Laurel, MD 20707-4872

Mailing address

14722 Baltimore Ave
Suite 103
Laurel, MD 20707-4872

National Provider Directory

National Provider Directory
Tax ID family
Greater Maryland Dental Partners-Columbia8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14722 Baltimore Ave
Unit 103
Laurel, MD 20707
Phone (240) 271-9638

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1750757597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14722 BALTIMORE AVE",
            "address_2": "SUITE 103",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14722 BALTIMORE AVE",
            "address_2": "SUITE 103",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074872",
            "telephone_number": "301-843-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "LATHROP",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "KALIN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "301-645-1344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "10965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.