Active NPI
Patrick Louis Ousborne, D.D.S.
- Dentist
- Towson, MD
National Provider Identifier
1942256359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11305
- Practice address
- 21 West Rd Ste 104
Towson, MD 21204-2307 - Phone
- (410) 828-1177
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11305 | MD | Primary |
Addresses
Primary practice location
21 West Rd Ste 104
Towson, MD 21204-2307
Mailing address
21 West Rd Ste 104
Towson, MD 21204-2307
Phone (410) 828-1177
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150624001719 | MD | Order and Referring Only - Dentist | 7315955978 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11305 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Dentist | Past | Accepting new patients |
| Ousborne and Keller, D.D.S., P.a. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1033190442
-
- Dentist
- Towson, MD
- NPI 1013024116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1942256359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WEST RD STE 104",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042307",
"telephone_number": "410-828-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WEST RD STE 104",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042307",
"telephone_number": "410-828-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUSBORNE",
"first_name": "PATRICK",
"middle_name": "LOUIS",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "11305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.