HALETHORPE ORTHODONTICS, LLC (NPI# 1346646379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346646379 |
| Entity Type | Organization |
| Organization Name | HALETHORPE ORTHODONTICS, LLC |
| Practice Address |
4367 Hollins Ferry Rd Suite 1d Baltimore MD 21227-3400 |
| Practice Telephone | 4105656282 |
| Practice Fax Number | 3013849877 |
| Mailing Telephone | 4105656282 |
| Mailing Fax Number | 3013849877 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | DR. RAVI KAUR (OWNER) |
| Authorized Official Telephone | 4105656282 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | M&R DENTAL ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 039215400 | 05 |
| Street Address |
4367 HOLLINS FERRY RD SUITE 1D |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21227-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437167368 | Geetha Raja | Internal Medicine | 4367 Hollins Ferry Rd, Suite 4a, Baltimore, MD 21227 | 2006-08-04 |
| 1013335546 | Jacqueline Ebony Ambush | Nurse Practitioner | 4367 Hollins Ferry Rd, Ste.1c, Baltimore, MD 21227-3400 | 2014-04-02 |
| 1538312194 | Dr. Darlyne Cange, Dpm, LLC | Podiatrist | 4367 Hollins Ferry Rd, Suite 4a, Baltimore, MD 21227-3400 | 2008-10-28 |
| 1316160716 | Henry Honick IIi | Dentist | 4367 Hollins Ferry Rd, Suite 4c, Baltimore, MD 21227-3400 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234536 | Sheng Ge | Dentist | 305 W Fayette St Apt 1401, Baltimore, MD 21201-3467 | 2020-07-31 |
| 1689122541 | Daniel C Shin, Dds, PC | Dentist | 2835 Smith Ave Ste B, Baltimore, MD 21209-1454 | 2016-09-20 |
| 1568731891 | Frederick Gerard Preis | Dentist | 810 Drohomer Pl, Baltimore, MD 21210-1347 | 2011-12-15 |
| 1942322961 | Edwin Lawrence Morris | Dentist | 4211 Blakely Ave, Suite 104, Baltimore, MD 21236-2407 | 2007-04-03 |
| 1124164215 | Gwendolyn F Dunn | Dentist | 2406 Garrison Blvd, Baltimore, MD 21216-2222 | 2007-01-29 |
| 1356413090 | Robert D Isaacs | Dentist | 8406 Harford Rd, Baltimore, MD 21234-4638 | 2006-11-15 |
| 1881605624 | Edgar Sweren | Dentist | 1001 North Point Blvd, Suite 501, Baltimore, MD 21224 | 2006-08-10 |
| 1124044706 | Donald Martin Russell | Dentist | 4714 Edmondson Avenue, Baltimore, MD 21229 | 2006-07-15 |
| 1780202358 | Trenton Davidheiser | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2020-07-10 |
| 1720475569 | Ronald Greenwald | Dentist | 1134 N Rolling Rd, Baltimore, MD 21228-3931 | 2015-04-20 |
| 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.