Active NPI
Bincy Kuttiplackal Mathai
- General Practice Dentistry
- Odenton, MD
National Provider Identifier
1891214714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16571
- Practice address
- 1135 Annapolis Road
Odenton, MD 21113 - Phone
- (410) 672-6868
- NPI assigned
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16571 | MD | Primary |
Addresses
Primary practice location
1135 Annapolis Road
Odenton, MD 21113
Mailing address
10412 Floral Drive
Adelphi, MD 20783
Other practice location 1
15 Lee Airpark Drive Suite 100
Edgewater, MD 21037
Phone (410) 956-4608
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16571 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Smiles I LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Edgewater, MD
- NPI 1346813714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891214714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10412 FLORAL DRIVE",
"city": "ADELPHI",
"state": "MD",
"postal_code": "20783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 ANNAPOLIS ROAD",
"city": "ODENTON",
"state": "MD",
"postal_code": "21113",
"telephone_number": "410-672-6868"
}
],
"practiceLocations": [
{
"address_1": "15 Lee Airpark Drive Suite 100",
"address_purpose": "LOCATION",
"city": "Edgewater",
"state": "MD",
"postal_code": "21037",
"country_code": "US",
"telephone_number": "410-956-4608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHAI",
"first_name": "BINCY",
"middle_name": "KUTTIPLACKAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "16571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.