Individual provider Active NPI

Patrick Louis Ousborne, D.D.S.

  • Dentist
  • Towson, MD
National Provider Identifier
1942256359
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11305 Issued in MD
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

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624001719 MD Order and Referring Only - DentistPractitioner - Dentist 7315955978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11305MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.