Organization Active NPI

Clarksville Crossing Dental, LLC

  • Dentist
  • Clarksville, MD
National Provider Identifier
1912304346
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15000 Issued in MD
Legal business name
CLARKSVILLE CROSSING DENTAL, LLC
Practice address
6355 Ten Oaks Rd
201
Clarksville, MD 21029-1185
Phone
(410) 531-2600
Fax
(410) 531-2694
NPI assigned
Dec 1, 2014
Last updated
Dec 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Dr. Christopher Collin Steinweg, DDS
Title
Owner
Phone
(410) 531-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15000 MD Primary

Addresses

Primary practice location

6355 Ten Oaks Rd
201
Clarksville, MD 21029-1185

Mailing address

6355 Ten Oaks Rd
201
Clarksville, MD 21029-1185
Phone (410) 531-2600

National Provider Directory

National Provider Directory

Locations

6355 Ten Oaks Rd
Ste 201
Clarksville, MD 21029
Phone (410) 531-2600

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1912304346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 TEN OAKS RD",
            "address_2": "201",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291185",
            "telephone_number": "410-531-2600",
            "fax_number": "410-531-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 TEN OAKS RD",
            "address_2": "201",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291185",
            "telephone_number": "410-531-2600",
            "fax_number": "410-531-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE CROSSING DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "STEINWEG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "COLLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-531-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.