Active NPI
Mary Della-Davis, L.E. (LICENSED ELECT
- Other Technician
- Baltimore, MD
National Provider Identifier
1982241626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- EO1228
- Practice address
- 1621 Sulgrave Ave
Attn: Village Electrolysis
Baltimore, MD 21209 - Phone
- (410) 578-0033
- NPI assigned
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | EO1228 | MD | Primary |
Addresses
Primary practice location
1621 Sulgrave Ave
Attn: Village Electrolysis
Baltimore, MD 21209
Mailing address
1621 Sulgrave Ave
Attn: Village Electrolysis
Baltimore, MD 21209
Phone (410) 578-0033
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 |
|---|---|---|---|
| EO1228 | MD | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1982241626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 SULGRAVE AVE",
"address_2": "ATTN: VILLAGE ELECTROLYSIS",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "410-578-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 SULGRAVE AVE",
"address_2": "ATTN: VILLAGE ELECTROLYSIS",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "410-578-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLA-DAVIS",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "L.E. (LICENSED ELECT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MD",
"license": "EO1228",
"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 Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.