NPIMap

Organization Active NPI

Charm City Dui

  • Prevention Professional
  • Baltimore, MD
National Provider Identifier
1851128359
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
CHARM CITY DUI
Practice address
2220 Reisterstown Rd
Baltimore, MD 21217-1928
Phone
(301) 675-1296
Fax
(443) 535-0773
NPI assigned
Sep 18, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARM CITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Dr. Devesh Dhruva Kanjarpane, MDNPI 1548418726
Title
Chief Medical Officer
Phone
(301) 646-3279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X NU Primary

Addresses

Primary practice location

2220 Reisterstown Rd
Baltimore, MD 21217-1928

Mailing address

6041 Winter Grain Path
Clarksville, MD 21029-1224
Phone (301) 646-3279

National Provider Directory

National Provider Directory
Tax ID family
Charm City Behavioral Health8 organizations share this tax ID, including this one
Part of
Charm City Behavioral Health

Other organizations with this tax ID 7

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

Locations

2220 Reisterstown Rd
Baltimore, MD 21217
Phone (301) 675-1296

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1851128359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 WINTER GRAIN PATH",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291224",
            "telephone_number": "301-646-3279",
            "fax_number": "443-535-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171928",
            "telephone_number": "301-675-1296",
            "fax_number": "443-535-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM CITY DUI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARM CITY MEDICAL CENTER",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "KANJARPANE",
        "authorized_official_first_name": "DEVESH",
        "authorized_official_middle_name": "DHRUVA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "301-646-3279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 18, 2024; 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.