NPI Directory

Tidalhealth Specialty Care, LLC — NPI 1063374114

Tidalhealth Specialty Care, LLC’s National Provider Identifier is 1063374114. NPPES classifies this as a Type 2 organization record and reports a practice location in Berlin, Maryland. The primary taxonomy is Podiatrist.

Key facts

NPI
1063374114
Entity type
Type 2 organization
NPPES status
Active in the August 10, 2026 snapshot
Practice location
10231 OLD OCEAN CITY BLVD STE 104
 Berlin, Maryland 21811
Practice telephone
(410) 629-6863
Primary taxonomy
Podiatrist (213E00000X)
Podiatric Medicine & Surgery Service Providers › Podiatrist
Enumeration date
November 26, 2025
NPPES last update
July 17, 2026
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Tidalhealth Specialty Care, LLC?

The NPI listed for Tidalhealth Specialty Care, LLC in the NPPES snapshot is 1063374114. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1063374114 an individual or organization record?

NPPES records NPI 1063374114 as an Entity Type 2 record, which CMS assigns to an organization health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 10231 OLD OCEAN CITY BLVD STE 104, Berlin, Maryland 21811.

What taxonomy codes are listed for this NPI?

One taxonomy code is listed: Podiatrist (213E00000X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of July 17, 2026 and an enumeration date of November 26, 2025, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Berlin, Maryland NPI directory and the Maryland NPI directory.

Other published profiles in Berlin, MD

Up to ten other profiles this site publishes for Berlin, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 43 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.