NPIMap

Organization Active NPI

U M FDSP Associates PA

  • Dentist
  • Baltimore, MD
National Provider Identifier
1831780253
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
U M FDSP ASSOCIATES PA
Practice address
650 W Baltimore Street
Faculty Practice Clinic 1St Floor
Baltimore, MD 21201-1510
Phone
(410) 706-7961
Fax
(410) 706-3028
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Elyse B Markwitz
Title
Dir. of Medical Credentialing & Qa
Phone
(410) 706-5806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

650 W Baltimore Street
Faculty Practice Clinic 1St Floor
Baltimore, MD 21201-1510

Mailing address

650 W Baltimore St Ste 5201
Baltimore, MD 21201-1510
Phone (410) 706-5806

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BALTIMORE

National Provider Directory

National Provider Directory
Tax ID family
Um FDSP Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

650 W Baltimore St
Ste 5201
Baltimore, MD 21201
Phone (410) 706-5806

650 W Baltimore St
Fl 1
Baltimore, MD 21201
Phone (410) 706-6195

Practitioners & affiliated clinicians

Practitioners 8

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1831780253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST STE 5201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-706-5806",
            "fax_number": "410-706-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE STREET",
            "address_2": "FACULTY PRACTICE CLINIC 1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-706-7961",
            "fax_number": "410-706-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U M FDSP ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "MARKWITZ",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIR. OF MEDICAL CREDENTIALING & QA",
        "authorized_official_telephone_number": "410-706-5806"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BALTIMORE",
            "affiliation": "N",
            "address_1": "650 W BALTIMORE STREET",
            "address_2": "Faculty Practice Clinic 1st Floor",
            "city": "BALTIMORE",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212011510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.