NPIMap

Organization Active NPI

Annapolis Green Dental

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1992117683
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14701 Issued in MD
Legal business name
ANNAPOLIS GREEN DENTAL
Practice address
2331 Forest Dr
Suite E
Annapolis, MD 21401-3868
Phone
(410) 224-4500
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Gena Schultheis, DDS
Title
Dentist
Phone
(410) 257-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 14701 MD Primary

Addresses

Primary practice location

2331 Forest Dr
Suite E
Annapolis, MD 21401-3868

Mailing address

2331 Forest Dr
Suite E
Annapolis, MD 21401-3868
Phone (410) 224-4500

National Provider Directory

National Provider Directory
Tax ID family
Annapolis Green Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1992117683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 FOREST DR",
            "address_2": "SUITE E",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013868",
            "telephone_number": "410-224-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 FOREST DR",
            "address_2": "SUITE E",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013868",
            "telephone_number": "410-224-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS GREEN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEIS",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-257-7200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.