KERNAN DENTISTRY (NPI# 1942202692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942202692 |
| Entity Type | Organization |
| Organization Name | KERNAN DENTISTRY |
| Practice Address |
2200 Kernan Dr Dental Suite T500 Baltimore MD 21207-6665 |
| Mailing Address |
Po Box 62015 Baltimore MD 21264-2015 |
| Practice Telephone | 4104486290 |
| Practice Fax Number | 4104486883 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EARLE M SCHULZ (DIRECTOR) |
| Authorized Official Telephone | 4104486290 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
========= | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DORAL DENTAL LOCATION ID | 105664 | 01 |
| MD | DORAL DENTAL PAYOR ID | 164252 | 01 |
| MD | UNITED HEALTHCARE ID | 9282-1 | 01 |
| MD | DENTAL NETWORK ID | S165 | 01 |
| Street Address |
2200 KERNAN DR DENTAL SUITE T500 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21207-6665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207868 | Neima Hinda Brody | Speech-Language Pathologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2020-08-28 |
| 1255982690 | Amy Olzmann | Clinical Neuropsychologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-09-26 |
| 1669036836 | Idowu Awolusi | Nurse Practitioner | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-04-23 |
| 1124583950 | Carolyn Kaye Gibson | Internal Medicine | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-02-06 |
| 1275097784 | Kayla Marie Stolins | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-29 |
| 1669936571 | Elizabeth Wells Bihn | Speech-Language Pathologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-24 |
| 1275007833 | Nikkie Dorsey | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-17 |
| 1104390905 | Allison Jean | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-15 |
| 1548734361 | Lauren Sirriannia | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-15 |
| 1366916199 | Elaine Michelle Brown | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1891328431 | Day-by-day Healthcare LLC | Home Health Aide | 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 | 2020-02-21 |
| 1366005944 | Lacey Murphy | Social Worker | 6201 Liberty Road, Baltimore, MD 21207 | 2019-04-18 |
| 1811453368 | Pamela Powell | Social Worker | 5025 Dickey Hill Rd, Baltimore, MD 21207 | 2019-02-20 |
| 1568932176 | Reflections Counseling & Consulting | Community/Behavioral Health | 6901 Brightway, Unit F, Gwynn Oak, MD 21207 | 2018-11-27 |
| 1255849394 | Therapetic Wellness Services | Community/Behavioral Health | 4909 Liberty Heights Ave, Baltimore, MD 21207 | 2018-01-10 |
| 1922525252 | Passionate Hands Transitional Housing | Clinic/Center | 4711 Liberty Heights Avenue, Baltimore, MD 21207 | 2017-08-28 |
| 1528427689 | Stephen James Allen | Occupational Therapy Assistant | 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 | 2016-02-17 |
| 1255720439 | Dawn James | Counselor | 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 | 2015-01-12 |
| 1407251168 | Allcare International, Inc | Day Training, Developmentally Disabled Services | 3402 Milford Ave, Baltimore, MD 21207 | 2014-10-23 |
| Find all providers in zip 21207 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983001 | Raksha Barnes Dmd LLC | Clinic/Center | 838 S Conkling St, Baltimore, MD 21224-4303 | 2019-10-15 |
| 1497228936 | James D Perkins Dds LLC | Clinic/Center | 4000 Annapolis Rd Rear 101, Baltimore, MD 21227-3611 | 2019-01-08 |
| 1255819470 | Sumanya Venkat Rao Dds PC | Clinic/Center | 3635 Old Court Rd Ste 510, Baltimore, MD 21208-3916 | 2018-07-31 |
| 1558867481 | Jones Falls Dental LLC | Clinic/Center | 2 Hamill Rd Ste 265, Baltimore, MD 21210-1885 | 2018-03-31 |
| 1649729724 | Marie Johnson, Dds, Lls | Clinic/Center | 115 S Wolfe St, Baltimore, MD 21231-1915 | 2016-09-29 |
| 1104271279 | Belvedere Square Dental LLC | Clinic/Center | 14 Ruby Field Ct, Baltimore, MD 21209-1559 | 2016-04-26 |
| 1992180012 | Andrew Fried, Dmd LLC | Clinic/Center | 9712 Belair Road, Suite 304, Baltimore, MD 21236 | 2015-07-30 |
| 1447649900 | Byron Bonebreak Dmd LLC | Clinic/Center | 100 Harborview Dr, Unit 1309, Baltimore, MD 21230-5415 | 2015-01-21 |
| 1205013554 | Bright Smiles, P.a. | Clinic/Center | 4115 Wilkens Ave Ste 101, Baltimore, MD 21229-4750 | 2008-01-29 |
| 1396727681 | Ned S Greenberg Dds Pa | Clinic/Center | 2100 Eastern Blvd, Baltimore, MD 21220-4704 | 2005-11-14 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.