Individual provider Active NPI

Kathleen M Whelton, DMD

  • Dentist
  • Cambridge, MD
National Provider Identifier
1952533838
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14489 Issued in MD
Practice address
503 Muir St
Cambridge, MD 21613-1871
Phone
(410) 228-9381
NPI assigned
Aug 11, 2009
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14489 MD Primary
Dentist 122300000X 48491 CA
Dentist 122300000X DS026029L PA
Dentist 122300000X HAD 8 FL

Addresses

Primary practice location

503 Muir St
Cambridge, MD 21613-1871

Mailing address

310 Blenny LN
Chester, MD 21619-9500
Phone (858) 382-0874

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
I20160217002450 MD Order and Referring Only - DentistPractitioner - Dentist 3072818798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HAD 8FLMDDentist
DS026029LPAMDDentist
48491CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1952533838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BLENNY LN",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216199500",
            "telephone_number": "858-382-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MUIR ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131871",
            "telephone_number": "410-228-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELTON",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14489",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48491",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026029L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "HAD 8",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.