NPIMap

Organization Active NPI

Hill Southern Dental of Maryland PPO PC

Doing business as Maryland Dental Care

  • Dentist
  • Nottingham, MD
National Provider Identifier
1831995794
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HILL SOUTHERN DENTAL OF MARYLAND PPO PC
Doing business as
Maryland Dental Care
Practice address
7939 Honeygo Blvd Ste 214
Nottingham, MD 21236-5992
Phone
(410) 933-1099
NPI assigned
Feb 21, 2025
Organization subpart
Yes
Parent organization
HILL SOUTHERN DENTAL OF MARYLAND PPO PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Erika Melissa Menjivar
Title
Sr. Credentialing Specialist
Phone
(469) 596-6137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7939 Honeygo Blvd Ste 214
Nottingham, MD 21236-5992

Mailing address

5830 Granite Pkwy Ste 780
Plano, TX 75024-6775

Other names 1

  • Maryland Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hill Southern Dental of Maryland PPO PC10 organizations share this tax ID, including this one
Part of
Hill Southern Dental of Maryland PPO PC

Other organizations with this tax ID 9

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

Locations

7939 Honeygo Blvd
Ste 214
Nottingham, MD 21236
Phone (410) 933-1099

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1831995794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 GRANITE PKWY STE 780",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD STE 214",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365992",
            "telephone_number": "410-933-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL SOUTHERN DENTAL OF MARYLAND PPO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILL SOUTHERN DENTAL OF MARYLAND PPO PC",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "MENJIVAR",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "SR. CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "469-596-6137"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.