| NPI | 1073637492 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-19 |
| Last Updated | 2025-02-03 |
| Authorized Official | Kyle Easton Revenue Cycle Director Phone: 6672607924 |
| Mailing Address | 1111 North Charles Street Baltimore, MD 21201 United States Phone: (410) 837-2050 | Fax: (410) 752-1374 📍 View Map |
| Primary Practice Address | 1111 North Charles Street Baltimore, MD 21201 United States Phone: (410) 837-2050 | Fax: (410) 752-1374 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MD | 097004200 | — |
| MEDICAID | MD | 132190100 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223G0001X – Dentist, General Practice | MD | — |
| No | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | — | — |
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About NPI 1073637492
Chase Brexton Health Services, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1073637492. The primary specialty listed is Dentist, General Practice. The organization is located in Baltimore, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073637492?
NPI 1073637492 belongs to Chase Brexton Health Services, Inc., a Dentist, General Practice in Baltimore, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073637492 active?
The current status of NPI 1073637492 in the NPPES registry is Active. The record was last updated on 2025-02-03.
What specialty is NPI 1073637492?
NPI 1073637492 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073637492?
You can verify NPI 1073637492 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073637492?
The primary practice address on file for NPI 1073637492 is 1111 North Charles Street, Baltimore, MD 21201. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073637492 issued?
NPI 1073637492 was first issued (enumerated) on 2007-03-19. The NPPES record was last updated on 2025-02-03.
Practice Location Map
Chase Brexton Health Services, Inc. is located at 1111 North Charles Street, Baltimore, MD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Chase Brexton Health Services, Inc.. All records sourced from the CMS NPPES registry.