Natalie Veronica Portillo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18491 Issued in MD

Practice address

22 Kent Town Market
Chester, MD 21619-2632

Phone

(410) 643-5500

Fax

(410) 643-8538

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• F.W.B. Dental LLC

  dba Eastern Shore Dental Care

  • General Practice Dentistry
  • Chester, MD
  • NPI 1932883444
  NPD
• Billings & Murphy, D.D.S., P.a.

  • Dentist
  • Chester, MD
  • NPI 1841316304
  NPD (past)

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1801649710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 KENT TOWN MARKET",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192632",
            "telephone_number": "410-643-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 KENT TOWN MARKET",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192632",
            "telephone_number": "410-643-5500",
            "fax_number": "410-643-8538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Kent Town Market",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192632",
            "country_code": "US",
            "telephone_number": "410-643-5500",
            "fax_number": "410-643-8538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 W Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011510",
            "country_code": "US",
            "telephone_number": "410-706-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "NATALIE",
        "middle_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Disha B Patel, DP
• Richard Taylor Peret Jr., PT
• Kimberly Ann Perillo, LGPC
• Breann Mae Plummer
• James Charles Pochron, D.D.S
• Puddin Helping Hands Mental & Behavioral Health Services LLC
• Queen Anne'S Medical Center, LLC
• Andrea Leigh Riggins, PHARMD
• Rite Aid of Maryland Inc (Rite Aid Pharmacy 04810)
• Stephanie Robinson, CRNP

• General Practice Dentistry in Chester, MD
• Providers in Chester, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.