Active NPI
Mary-Ibeth Ossa, D.M.D., M.S.
- Prosthodontics
- Timonium, MD
National Provider Identifier
1942427083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 13930
- Practice address
- 115 E Padonia Rd
Timonium, MD 21093-2521 - Phone
- (410) 667-0884
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 13930 | MD | Primary |
Addresses
Primary practice location
115 E Padonia Rd
Timonium, MD 21093-2521
Mailing address
115 E Padonia Rd
Timonium, MD 21093-2521
Phone (410) 667-0884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13930 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1942427083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E PADONIA RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932521",
"telephone_number": "410-667-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E PADONIA RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932521",
"telephone_number": "410-667-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSSA",
"first_name": "MARY-IBETH",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MD",
"license": "13930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.