Individual provider Active NPI

Karen Lee Faraone, DDS

  • Prosthodontics
  • Baltimore, MD
National Provider Identifier
1932211372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
6679 Issued in MD
Practice address
600 Light St
Harbor Health Care
Baltimore, MD 21230-3856
Phone
(410) 659-0900
Fax
(410) 659-0902
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 6679 MD Primary

Addresses

Primary practice location

600 Light St
Harbor Health Care
Baltimore, MD 21230-3856

Mailing address

348 Broadview Lane
Annapolis, MD 21401-7240
Phone (410) 974-6020

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
I20151221000210 MD Order and Referring Only - DentistPractitioner - Dentist 0244531085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6679MDMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932211372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 BROADVIEW LANE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017240",
            "telephone_number": "410-974-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LIGHT ST",
            "address_2": "HARBOR HEALTH CARE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303856",
            "telephone_number": "410-659-0900",
            "fax_number": "410-659-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAONE",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "6679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.