Active NPI
Michael Leonard Gido, D.D.S
- Dentist
- Baltimore, MD
National Provider Identifier
1871710541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8459
- Practice address
- 7221 Holabird Ave
Baltimore, MD 21222-1808 - Phone
- (410) 284-5513
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8459 | MD | Primary |
Addresses
Primary practice location
7221 Holabird Ave
Baltimore, MD 21222-1808
Mailing address
7221 Holabird Ave
Baltimore, MD 21222-1808
Phone (410) 284-5513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160622000297 | MD | Order and Referring Only - Other (Physician) | 3779874722 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8459 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871710541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7221 HOLABIRD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212221808",
"telephone_number": "410-284-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7221 HOLABIRD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212221808",
"telephone_number": "410-284-5513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDO",
"first_name": "MICHAEL",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "8459",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.