Individual provider Active NPI

Martin S. Sugar, D.D.S.

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1912047606
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15741 Issued in MD
Practice address
3 Crystal Field CT
Baltimore, MD 21209-1564
Phone
(410) 804-1217
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15741 MD Primary

Addresses

Primary practice location

3 Crystal Field CT
Baltimore, MD 21209-1564

Mailing address

3 Crystal Field CT
Baltimore, MD 21209-1564
Phone (410) 804-1217

Other practice location 1

25 Old Farm Ln
Shrewsbury, PA 17361-1711
Phone (717) 235-3837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601000691 MD Order and Referring Only - DentistPractitioner - Dentist 3476843624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15741MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1912047606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CRYSTAL FIELD CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091564",
            "telephone_number": "410-804-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CRYSTAL FIELD CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091564",
            "telephone_number": "410-804-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Old Farm Ln",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173611711",
            "country_code": "US",
            "telephone_number": "717-235-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGAR",
        "first_name": "MARTIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.