Organization Active NPI

Sharon E. Keister, D.D.S.,P.a.

  • Dentist
  • Ellicott City, MD
National Provider Identifier
1891828166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8840 Issued in MD
Legal business name
SHARON E. KEISTER, D.D.S.,P.A.
Practice address
5018 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21042-7855
Phone
(410) 740-7008
Fax
(410) 740-0261
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sharon Elisabeth Keister
Title
Sole Proprietor
Phone
(410) 740-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8840 MD Primary

Addresses

Primary practice location

5018 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21042-7855

Mailing address

5018 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21042-7855
Phone (410) 740-7008

National Provider Directory

National Provider Directory

Locations

5018 Dorsey Hall Dr
Ste 105
Ellicott City, MD 21042
Phone (410) 740-7008

Practitioners & affiliated clinicians

Practitioners 2

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891828166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 DORSEY HALL DR",
            "address_2": "SUITE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427855",
            "telephone_number": "410-740-7008",
            "fax_number": "410-740-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 DORSEY HALL DR",
            "address_2": "SUITE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427855",
            "telephone_number": "410-740-7008",
            "fax_number": "410-740-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON E. KEISTER, D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEISTER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "410-740-7008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "8840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.