Individual provider Active NPI

Felicia Margaret Maresca, D.D.S., P.C.

  • General Practice Dentistry
  • Waldorf, MD
National Provider Identifier
1982680096
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10289 Issued in MD
Practice address
956 Chandler CT
Waldorf, MD 20602-2800
Phone
(301) 705-9737
Fax
(301) 893-2194
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10289 MD Primary

Addresses

Primary practice location

956 Chandler CT
Waldorf, MD 20602-2800

Mailing address

956 Chandler CT
Waldorf, MD 20602-2800
Phone (301) 705-9737

Other names 1

  • Felicia Margaret Nesbit Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10289MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1982680096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 CHANDLER CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022800",
            "telephone_number": "301-705-9737",
            "fax_number": "301-893-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 CHANDLER CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022800",
            "telephone_number": "301-705-9737",
            "fax_number": "301-893-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESCA",
        "first_name": "FELICIA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "NESBIT",
            "middle_name": "MARGARET",
            "credential": "D.D.S., P.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.