NPIMap

Organization Active NPI

Growing Smiles White Marsh LLC

  • Pediatric Dentistry
  • Middle River, MD
National Provider Identifier
1831644988
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12180 Issued in MD
Legal business name
GROWING SMILES WHITE MARSH LLC
Practice address
11570 Crossroads Cir
Suite 116
Middle River, MD 21220-2861
Phone
(410) 697-9000
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Diana Capobianco, D.D.S.
Title
Partner
Phone
(410) 697-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12180 MD Primary

Addresses

Primary practice location

11570 Crossroads Cir
Suite 116
Middle River, MD 21220-2861

Mailing address

11570 Crossroads Cir
Suite 116
Middle River, MD 21220-2861
Phone (410) 697-9000

National Provider Directory

National Provider Directory

Locations

11570 Crossroads Cir
Ste 116
Middle River, MD 21220
Phone (410) 569-6700

Practitioners & affiliated clinicians

Practitioners 3

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": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1831644988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11570 CROSSROADS CIR",
            "address_2": "SUITE 116",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202861",
            "telephone_number": "410-697-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11570 CROSSROADS CIR",
            "address_2": "SUITE 116",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202861",
            "telephone_number": "410-697-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING SMILES WHITE MARSH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "CAPOBIANCO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-697-9000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "12180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.