Organization Active NPI

CRM Dermatology, L.L.C.

  • Medical Specialty Clinic/Center
  • Baltimore, MD
National Provider Identifier
1871786087
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D0051794 Issued in MD
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

Updated by the provider on Nov 19, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.