Active NPI
Moshe Stern, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Baltimore, MD
National Provider Identifier
1891137410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 14690
- Practice address
- 7211 Park Heights Ave
Baltimore, MD 21208-5403 - Phone
- (917) 612-6468
- NPI assigned
- Jul 24, 2013
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 14690 | MD | Primary |
Addresses
Primary practice location
7211 Park Heights Ave
Baltimore, MD 21208-5403
Mailing address
2504 Willow Glen Dr
Baltimore, MD 21209-3107
Phone (917) 612-6468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14690 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1891137410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 WILLOW GLEN DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093107",
"telephone_number": "917-612-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 PARK HEIGHTS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212085403",
"telephone_number": "917-612-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "MOSHE",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "14690",
"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 24, 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.