Individual provider Active NPI

Mark Shulman, DDS

  • General Practice Dentistry
  • Timonium, MD
National Provider Identifier
1790820918
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5926 Issued in MD
Practice address
20 E Timonium Rd Ste 211
Timonium, MD 21093-3456
Phone
(410) 832-5858
Fax
(410) 821-5220
NPI assigned
Feb 21, 2007
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 5926 MD Primary

Addresses

Primary practice location

20 E Timonium Rd Ste 211
Timonium, MD 21093-3456

Mailing address

20 E Timonium Rd Ste 211
Timonium, MD 21093-3456
Phone (410) 832-5858

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
I20170518001324 MD Practitioner - Oral Surgery 3072804517 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5926MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Apnea Dental Solutions of Towson, LLC Dentist CurrentSince Jul 14, 1975 Accepting new patients

Locations

20 E Timonium Rd
Ste 211
Timonium, MD 21093
Phone (410) 296-8445

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, 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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1790820918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E TIMONIUM RD STE 211",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933456",
            "telephone_number": "410-832-5858",
            "fax_number": "410-821-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E TIMONIUM RD STE 211",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933456",
            "telephone_number": "410-832-5858",
            "fax_number": "410-821-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "5926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.