Individual provider Active NPI

Richard Brian Garden, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Severna Park, MD
National Provider Identifier
1801962030
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
09892 Issued in MD
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124002541 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345498994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9892MDMDCounselor
09892MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.