Maryland Prosthodontic Associates, PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

12852 Issued in MD

Legal business name

MARYLAND PROSTHODONTIC ASSOCIATES, PC

Practice address

6569 N Charles St
Physicians Pavilion West, Suite 601
Baltimore, MD 21204-6831

Phone

(443) 519-5293

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ghassan G Sinada, D.D.S.NPI 1043378169

Title

Owner

Phone

(443) 519-5293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ghassan G Sinada, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Baltimore, MD
  • NPI 1043378169
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1942575964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N CHARLES ST",
            "address_2": "PHYSICIANS PAVILION WEST, SUITE 601",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046831",
            "telephone_number": "443-519-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 N CHARLES ST",
            "address_2": "PHYSICIANS PAVILION WEST, SUITE 601",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046831",
            "telephone_number": "443-519-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PROSTHODONTIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "SINADA",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-519-5293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "12852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Prosthodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.