NPIMap

Individual provider Active NPI

Dale Riniker, P.A.

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1952467706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C00273 Issued in MD
Practice address
4136 E Joppa Rd Ste a
Baltimore, MD 21236-2286
Phone
(410) 256-8500
Fax
(410) 256-2490
NPI assigned
Dec 28, 2006
Sex
Male
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
Physician Assistant 363A00000X C00273 MD Primary

Addresses

Primary practice location

4136 E Joppa Rd Ste a
Baltimore, MD 21236-2286

Mailing address

4136 E Joppa Rd Ste a
Baltimore, MD 21236-2286
Phone (410) 256-8500

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Good Samaritan Hospital of Maryland Inc Current Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

Organizations & group practices 1

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952467706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 E JOPPA RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362286",
            "telephone_number": "410-256-8500",
            "fax_number": "410-256-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 E JOPPA RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362286",
            "telephone_number": "410-256-8500",
            "fax_number": "410-256-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINIKER",
        "first_name": "DALE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C00273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.