Active NPI
CRM Dermatology, L.L.C.
- Medical Specialty Clinic/Center
- Baltimore, MD
National Provider Identifier
1871786087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- D0051794
- Legal business name
- CRM DERMATOLOGY, L.L.C.
- Practice address
- 2 Village Square
The Village of Cross Keys, Suite # 260
Baltimore, MD 21210-1935 - Phone
- (410) 532-7546
- Fax
- (410) 532-7553
- NPI assigned
- Aug 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ciro Roberto Martins, M.D.
- Title
- Owner
- Phone
- (410) 532-7546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | D0051794 | MD | Primary |
Addresses
Primary practice location
2 Village Square
The Village of Cross Keys, Suite # 260
Baltimore, MD 21210-1935
Mailing address
2 Village Square
Suite# 260
Baltimore, MD 21210-1935
Phone (410) 532-7546
National Provider Directory
National Provider DirectoryLocations
2 Village Sq
Ste 260
Baltimore, MD 21210
Phone (410) 532-7546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1871786087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 VILLAGE SQUARE",
"address_2": "SUITE# 260",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101935",
"telephone_number": "410-532-7546",
"fax_number": "410-532-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 VILLAGE SQUARE",
"address_2": "THE VILLAGE OF CROSS KEYS, SUITE # 260",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101935",
"telephone_number": "410-532-7546",
"fax_number": "410-532-7553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRM DERMATOLOGY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-21",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "MARTINS",
"authorized_official_first_name": "CIRO",
"authorized_official_middle_name": "ROBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-532-7546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MD",
"license": "D0051794",
"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 Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.