Dr. Olga Baczara

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12765 Issued in MD

Legal business name

DR. OLGA BACZARA

Practice address

2401 Brandermill Blvd.
Ste. 140
Gambrills, MD 21054

Phone

(410) 451-5600

NPI assigned

Aug 17, 2009

Last updated

Dec 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy A Kauffman

Title

Patient Coordinator

Phone

(410) 451-2687

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olga Baczara, DMD

  • General Practice Dentistry
  • Gambrills, MD
  • NPI 1962892612
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1902038557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD.",
            "address_2": "STE. 140",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "21054",
            "telephone_number": "410-451-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD.",
            "address_2": "STE. 140",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "21054",
            "telephone_number": "410-451-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. OLGA BACZARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PATIENT COORDINATOR",
        "authorized_official_telephone_number": "410-451-2687"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Dodge, CNM
• Donald R Schneider, MD and Zachary R Schneider, MD PA (BelliAcres Pediatrics)
• Matthew Donnelly
• Sara E Donnelly, DC
• Theresa Doyle, OTR
• Terrie Leigh Driscoll, D.D.S.
• DRS Ergent Care, LLC
• DRS Leary , Burroughs and Woods, L.L.C.
• Chelsea Dufoe, RDH
• Dyn Telehealth Clinic

• General Practice Dentistry in Gambrills, MD
• Providers in Gambrills, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.