Individual provider Active NPI

Katelyn Y Niu, D.D.S., PH.D

  • Dentist
  • Hagerstown, MD
National Provider Identifier
1770923526
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15421 Issued in MD
Practice address
1855 Howell Rd
Hagerstown, MD 21740-6640
Phone
(301) 739-4114
NPI assigned
Jun 25, 2013
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15421 MD Primary

Addresses

Primary practice location

1855 Howell Rd
Hagerstown, MD 21740-6640

Mailing address

2705 Thornbrook Rd
Ellicott City, MD 21042-7805
Phone (410) 916-4158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
15421MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Niu Dentistry Towson LLC Current Accepting new patients
Margaret L. Wade DDS Chrtd Dentist Past Accepting new patients
Hillary S. Wade DDS, Chartered Dentist Past Accepting new patients
Niu Dentistry, LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1770923526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 THORNBROOK RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427805",
            "telephone_number": "410-916-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 HOWELL RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406640",
            "telephone_number": "301-739-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIU",
        "first_name": "KATELYN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.