Active NPI
Richard Brian Garden, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Severna Park, MD
National Provider Identifier
1801962030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 09892
- Practice address
- 555 Benfield Rd
Severna Park, MD 21146-2523 - Phone
- (410) 647-0079
- Fax
- (410) 647-7405
- NPI assigned
- Nov 28, 2006
- Last updated
- Dec 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 09892 | MD | Primary |
Addresses
Primary practice location
555 Benfield Rd
Severna Park, MD 21146-2523
Mailing address
555 Benfield Rd
Severna Park, MD 21146-2523
Phone (410) 647-0079
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250124002541 | MD | Order and Referring Only - Oral Surgery | 0345498994 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9892 | MD | MD | Counselor |
| 09892 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard B. Garden, DDS, PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| First Colonies Anesthesia Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- rgarden21403@direct.umm.edu
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Severna Park, MD
- NPI 1518028000
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1801962030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BENFIELD RD",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462523",
"telephone_number": "410-647-0079",
"fax_number": "410-647-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BENFIELD RD",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462523",
"telephone_number": "410-647-0079",
"fax_number": "410-647-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDEN",
"first_name": "RICHARD",
"middle_name": "BRIAN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MD",
"license": "09892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.