Active NPI
Bonita Cody, DMD
- General Practice Dentistry
- Rosedale, MD
National Provider Identifier
1780885293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9162
- Practice address
- 9100 Franklin Square Dr
Rosedale, MD 21237-3903 - Phone
- (410) 887-6440
- NPI assigned
- May 30, 2007
- 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 | 9162 | MD | Primary |
Addresses
Primary practice location
9100 Franklin Square Dr
Rosedale, MD 21237-3903
Mailing address
9100 Franklin Square Dr
Rosedale, MD 21237-3903
Phone (410) 887-6440
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9162 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1780885293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 FRANKLIN SQUARE DR",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212373903",
"telephone_number": "410-887-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 FRANKLIN SQUARE DR",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212373903",
"telephone_number": "410-887-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODY",
"first_name": "BONITA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "9162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.