Organization Active NPI

Jerome S Casper Childrens Dental Office PA

Doing business as Childrens Dental Office

  • Pediatric Dentistry
  • Crofton, MD
National Provider Identifier
1801957519
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6515 Issued in MD
Legal business name
JEROME S CASPER CHILDRENS DENTAL OFFICE PA
Doing business as
Childrens Dental Office
Practice address
2225G Defense Hwy
Crofton, MD 21114-2403
Phone
(301) 261-0414
Fax
(301) 261-3839
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Jerome S Casper, D.M.D.NPI 1912111741
Title
President
Phone
(301) 261-0414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6515 MD Primary

Addresses

Primary practice location

2225G Defense Hwy
Crofton, MD 21114-2403

Mailing address

2225G Defense Hwy
Crofton, MD 21114-2403
Phone (301) 261-0414

Other names 1

  • Childrens Dental Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jerome S Casper Childrens Dental Office PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1801957519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225G DEFENSE HWY",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142403",
            "telephone_number": "301-261-0414",
            "fax_number": "301-261-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225G DEFENSE HWY",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142403",
            "telephone_number": "301-261-0414",
            "fax_number": "301-261-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME S CASPER CHILDRENS DENTAL OFFICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "CASPER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-261-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "6515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.