NPIMap

Organization Active NPI

Tooth Story

  • Pediatric Dentistry
  • Columbia, MD
National Provider Identifier
1982343679
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TOOTH STORY
Practice address
5450 Knoll North Dr Ste 310
Columbia, MD 21045-2369
Phone
(443) 545-5058
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Karen Sandoval
Title
Office Manager
Phone
(443) 545-5058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5450 Knoll North Dr Ste 310
Columbia, MD 21045-2369

Mailing address

5450 Knoll North Dr Ste 310
Columbia, MD 21045-2369
Phone (443) 545-5058

Other names 1

  • Wendy Daulat Other name

National Provider Directory

National Provider Directory

Locations

5450 Knoll North Dr
Ste 310
Columbia, MD 21045
Phone (410) 964-5311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1982343679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 KNOLL NORTH DR STE 310",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452369",
            "telephone_number": "443-545-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 KNOLL NORTH DR STE 310",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452369",
            "telephone_number": "443-545-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH STORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "443-545-5058"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendy Daulat",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.