SUSANNE SCHOPPERT WALLENGREN D.D.S., NPI 1932265055
Dentist in LUTHERVILLE, MD
Last Updated on : Jul 25,2013
About SUSANNE SCHOPPERT WALLENGREN (NPI 1932265055)
SUSANNE SCHOPPERT WALLENGREN is a Dentist provider in LUTHERVILLE, United States. Her medical specialization is Dentist with a focus in Pediatric Dentistry.
1932265055 is NPI number of SUSANNE SCHOPPERT WALLENGREN.
SUSANNE SCHOPPERT WALLENGREN's primary taxonomy code based on NPI Lookup is 1223P0221X with license number 12747. This taxonomy code refers to Dentist.
SUSANNE SCHOPPERT WALLENGREN has more than 15 years of experience.
SUSANNE SCHOPPERT WALLENGREN current practice location address is 2324 WEST JOPPA RD, LUTHERVILLE, MD. SUSANNE SCHOPPERT WALLENGREN can be reached out via phone at 410-321-0200 and via fax at 410-825-1159 .
You can also correspond with SUSANNE SCHOPPERT WALLENGREN through mail at mailing address 2324 WEST JOPPA RD, LUTHERVILLE, MD, United States. Mailing address contact number is 410-321-0200.
The enumeration date of SUSANNE SCHOPPERT WALLENGREN is 01-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 10 years ago.1932265055 NPI Information
Basic NPI information of SUSANNE SCHOPPERT WALLENGREN (NPI 1932265055) is provided below.
| Name | SUSANNE SCHOPPERT WALLENGREN |
|---|---|
| National Provider Id (NPI) | 1932265055 |
| Entity Type | Individual |
| Gender | F |
| Credential | D.D.S. |
| Practice Address | 2324 WEST JOPPA RD,
SUITE 430
LUTHERVILLE, MD, United States |
| Practice Telephone | 410-321-0200 |
| Practice Fax Number | 410-825-1159 |
| Mailing Address | 2324 WEST JOPPA RD ,
SUITE 430
LUTHERVILLE, MD, United States |
| Mailing Telephone | 410-321-0200 |
| Mailing Fax Number | 410-825-1159 |
| Enumeration Date | 01-Jan-2007 |
| Last Updated Date | 25-Jul-2013 |
SUSANNE SCHOPPERT WALLENGREN (NPI 1932265055) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Dentist, Pediatric Dentistry | 12747 | MD |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
SUSANNE SCHOPPERT WALLENGREN (NPI 1932265055) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 3351 | NH |
| N | 122300000X | Dentist | 12747 | MD |
| N | 1223P0221X | Dentist, Pediatric Dentistry | DS039549 | PA |
| N | 1223P0221X | Dentist, Pediatric Dentistry | 3351 | NH |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30304152 | MEDICAID (05) | NH |
SUSANNE SCHOPPERT WALLENGREN (NPI 1932265055) Office Location
Office location of SUSANNE SCHOPPERT WALLENGREN is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1932265055 | SUSANNE SCHOPPERT WALLENGREN | Dentist | 2324 WEST JOPPA RD,
SUITE 430 LUTHERVILLE, MD, United States |
01-Jan-2007 |
| 1033455522 | ELIZABETH A DONAHOO | Pediatrics | 10807 FALLS RD,
SUITE 200 LUTHERVILLE, MD, United States |
02-Jan-2013 |
| 1407277759 | DEANA KRIZAN | Social Worker, Clinical | 1407 YORK ROAD,
SUITE 310 LUTHERVILLE, MD, United States |
03-Jan-2014 |
| 1639614597 | COURTNEY STEINER | Physical Therapist, Orthopedic | 200 W DOUGLAS AVE STE 1040,
WICHITA, KS, United States |
03-Jan-2017 |
| 1356329882 | EDWARD B BOLGIANO | Specialist | 1908 BROADWAY RD,
LUTHERVILLE, MD, United States |
05-Jan-2006 |
| 1992852933 | WALTER ERNEST KOZACHUK | Neurological Surgery | 11403 CAM CT,
KENSINGTON, MD, United States |
04-Jan-2007 |
| 1649327610 | ERIC RICHARD VOLK | Dentist, Endodontics | 1447 YORK RD,
SUITE 607 LUTHERVILLE, MD, United States |
04-Jan-2007 |
| 1639449853 | CLIFFORD MEREDITH ANDERSON | Social Worker, Clinical | 120 W SEMINARY AVE,
LUTHERVILLE, MD, United States |
04-Jan-2012 |
| 1699282384 | ROBERT SAMUEL GRADER | Physical Therapy Assistant | 10753 FALLS RD STE 235,
LUTHERVILLE, MD, United States |
04-Jan-2018 |
| 1417465659 | MATTHEW CORRENTI | Physician Assistant | 8518 SOUTHFIELDS CIR,
LUTHERVILLE, MD, United States |
22-Jan-2018 |
| 1205814225 | MITCHEL MARKINS | Nurse Anesthetist, Certified Registered | 1533 CHARMUTH RD,
LUTHERVILLE, MD, United States |
09-Jan-2006 |
| 1417294893 | PATRICIA FOLEY GUILDENER | Social Worker, Clinical | 1016 CHESTNUT RIDGE DR,
LUTHERVILLE, MD, United States |
06-Jan-2013 |
| 1750439766 | PATIENT FIRST | Non-Pharmacy Dispensing Site | 5000 COX RD,
STE 100 GLEN ALLEN, VA, United States |
08-Jan-2007 |
| 1386792000 | TIMOTHY COULTER DONOVAN | Social Worker, Clinical | 511 LIGHTHOUSE DR,
PERRYVILLE, MD, United States |
08-Jan-2007 |
| 1891268280 | ELIZABETH AGRE | Physical Therapist | 10753 FALLS RD STE 235,
LUTHERVILLE, MD, United States |
08-Jan-2019 |
| 1952586810 | VERONICA ALTVATER | Counselor, Professional | 1205 YORK ROAD,
SUITE 21 LUTHERVILLE, MD, United States |
09-Jan-2008 |
| 1114076783 | RAVEN A MORRIS | Physician Assistant | PO BOX 759047,
BALTIMORE, MD, United States |
10-Jan-2007 |
| 1487703096 | DAVID W BUCHHOLZ | Specialist | 10753 FALLS RD,
SUITE 315 LUTHERVILLE, MD, United States |
10-Jan-2007 |
| 1538219084 | JAN HETHERINGTON | Nurse Anesthetist, Certified Registered | 6009 N CHARLES ST,
BALTIMORE, MD, United States |
10-Jan-2007 |
| 1609146349 | JANICE LEIGH MURACH | Specialist | 2759 THORNBROOK RD,
ELLICOTT CITY, MD, United States |
11-Jan-2012 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1932265055?1932265055 is the NPI number of SUSANNE SCHOPPERT WALLENGREN.
What is the specialty for SUSANNE SCHOPPERT WALLENGREN?The Specialty of SUSANNE SCHOPPERT WALLENGREN is Dentist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|