Active NPI
Summer Rose Ceraolo-O'Donnell, DDS
- Pediatric Dentistry
- Catonsville, MD
National Provider Identifier
1972035939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 16913
- Practice address
- 1134 N Rolling Rd
Catonsville, MD 21228-3931 - Phone
- (410) 788-4555
- Fax
- (410) 744-0142
- NPI assigned
- Mar 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | LL837 | MD | |
| Pediatric Dentistry | 1223P0221X | 16913 | MD | Primary |
Addresses
Primary practice location
1134 N Rolling Rd
Catonsville, MD 21228-3931
Mailing address
1134 N Rolling Rd
Catonsville, MD 21228-3931
Phone (410) 788-4555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL837 | MD | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Ginsberg, Simon, and Shroff Partnership | Pediatric Dentistry | Past | Accepting new patients |
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.
-
- Pediatric Dentistry
- Catonsville, MD
- NPI 1316164700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1972035939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 N ROLLING RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212283931",
"telephone_number": "410-788-4555",
"fax_number": "410-744-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 N ROLLING RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212283931",
"telephone_number": "410-788-4555",
"fax_number": "410-744-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERAOLO-O'DONNELL",
"first_name": "SUMMER",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "LL837",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "16913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
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- Henry Hou J Chang, M.D.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.