Paul J Kinsey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9467 Issued in MD

Practice address

515 Benfield Road
Suite 202
Severna Park, MD 21146-2519

Phone

(410) 544-4012

Fax

(410) 544-4019

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 31, 2016 through May 31, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lifetime Dental Care of Maryland, Badger, P.C.

  • General Practice Dentistry
  • Severna Park, MD
  • NPI 1528774163
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952469488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BENFIELD ROAD",
            "address_2": "SUITE 202",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462519",
            "telephone_number": "410-544-4012",
            "fax_number": "410-544-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BENFIELD ROAD",
            "address_2": "SUITE 202",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462519",
            "telephone_number": "410-544-4012",
            "fax_number": "410-544-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "9873",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "104698",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amir Hossain Khodabandelou
• Paxton Kieley
• Michelle Kim
• Lennee' Maria Kimbell
• Kinesio Physical Therapy and Sports Rehabilitation, LLC
• Lynn Kitzmiller, P.T.
• Lee A Kleiman, M.D.
• Olivia Catherine Klein
• Kimberly Ann Knight, RN, IBCLC, RLC
• Vanessa Lynne Knoll, LGPC

• General Practice Dentistry in Severna Park, MD
• Providers in Severna Park, MD by specialty
• General Practice Dentistry in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.