NPIMap

Organization Active NPI

Jerry a Kilian'S Canton Dental Associates PA

  • Dentist
  • Baltimore, MD
National Provider Identifier
1891030078
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7535 Issued in MD
Legal business name
JERRY A KILIAN'S CANTON DENTAL ASSOCIATES PA
Doing business as
Canton Dental Associates
Practice address
2700 Lighthouse PT E
Suite 210
Baltimore, MD 21224-4777
Phone
(410) 675-3300
Fax
(410) 675-3463
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Jerry Kilian, D.D.S.NPI 1023162138
Title
Owner
Phone
(410) 675-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7535 MD Primary

Addresses

Primary practice location

2700 Lighthouse PT E
Suite 210
Baltimore, MD 21224-4777

Mailing address

2700 Lighthouse PT E
Suite 210
Baltimore, MD 21224-4777
Phone (410) 675-3300

Other names 1

  • Canton Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2700 Lighthouse Pt E
Ste 210
Baltimore, MD 21224
Phone (410) 675-3300

Practitioners & affiliated clinicians

Practitioners 4

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": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1891030078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LIGHTHOUSE PT E",
            "address_2": "SUITE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244777",
            "telephone_number": "410-675-3300",
            "fax_number": "410-675-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LIGHTHOUSE PT E",
            "address_2": "SUITE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244777",
            "telephone_number": "410-675-3300",
            "fax_number": "410-675-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY A KILIAN'S CANTON DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "KILIAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-675-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "7535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2012; 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.