NPIMap

Organization Active NPI

Endodontics, P.a.

  • Endodontics
  • Bel Air, MD
National Provider Identifier
1851404487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ENDODONTICS, P.A.
Practice address
602 S Atwood Rd
Suite 212
Bel Air, MD 21014-4172
Phone
(410) 836-0290
Fax
(410) 836-0298
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Mann, D.M.D
Title
Owner/President
Phone
(410) 931-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

602 S Atwood Rd
Suite 212
Bel Air, MD 21014-4172

Mailing address

15 Old Lyme Rd
Lutherville, MD 21093-3719
Phone (410) 560-0009

National Provider Directory

National Provider Directory
Tax ID family
Endodontics PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

602 S Atwood Rd
Ste 212
Bel Air, MD 21014
Phone (410) 836-0290

Practitioners & affiliated clinicians

Practitioners 1

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851404487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OLD LYME RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210933719",
            "telephone_number": "410-560-0009",
            "fax_number": "410-931-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S ATWOOD RD",
            "address_2": "SUITE 212",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144172",
            "telephone_number": "410-836-0290",
            "fax_number": "410-836-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-931-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.