NPIMap

Organization Active NPI

Pdom Perrin Parkway LLC

  • Dentist
  • Baltimore, MD
National Provider Identifier
1861828576
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PDOM PERRIN PARKWAY LLC
Practice address
8831 Satyr Hill Rd
200
Baltimore, MD 21234-2306
Phone
(410) 661-0777
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Mike Cole
Title
VP Insurance Plan Management
Phone
(727) 726-1611

Specialties & licenses 1

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

Addresses

Primary practice location

8831 Satyr Hill Rd
200
Baltimore, MD 21234-2306

Mailing address

8831 Satyr Hill Rd
200
Baltimore, MD 21234-2306

National Provider Directory

National Provider Directory

Locations

8831 Satyr Hill Rd
Ste 200
Baltimore, MD 21234
Phone (410) 661-0777

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": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1861828576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 SATYR HILL RD",
            "address_2": "200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212342306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 SATYR HILL RD",
            "address_2": "200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212342306",
            "telephone_number": "410-661-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDOM PERRIN PARKWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "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 26, 2013; 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.