Active NPI
Michael A Baylin, DDS PA
- Dentist
- Baltimore, MD
National Provider Identifier
1982808267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4133
- Practice address
- 3655A Old Court Rd
Suite 8
Baltimore, MD 21208 - Phone
- (410) 484-5266
- Fax
- (410) 484-6606
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4133 | MD | Primary |
Addresses
Primary practice location
3655A Old Court Rd
Suite 8
Baltimore, MD 21208
Mailing address
3655A Old Court Rd
Suite #8
Baltimore, MD 21208
Phone (410) 484-5266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R027 | Other | MD | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 1, 2004 through Jun 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4133 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1982808267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655A OLD COURT RD",
"address_2": "SUITE #8",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21208",
"telephone_number": "410-484-5266",
"fax_number": "410-484-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655A OLD COURT RD",
"address_2": "SUITE 8",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21208",
"telephone_number": "410-484-5266",
"fax_number": "410-484-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLIN",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "4133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "R027",
"state": "MD"
}
],
"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 Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.