Active NPI
Austin Breglia, DDS
- Dentist
- Laurel, MD
National Provider Identifier
1063191633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17995
- Practice address
- 14333 Laurel Bowie Rd Ste 100
Laurel, MD 20708-1149 - Phone
- (301) 953-3081
- NPI assigned
- Jul 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17995 | MD | Primary |
Addresses
Primary practice location
14333 Laurel Bowie Rd Ste 100
Laurel, MD 20708-1149
Mailing address
518 W Fayette St
Baltimore, MD 21201-6052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17995 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurel Pines Dental 100 LLC | Past | Accepting new patients | |
| Laurel Pines Dental Group, Chartered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Laurel, MD
- NPI 1891167193
-
dba Laurel Pines Dental Group
- Dental Clinic/Center
- Laurel, MD
- NPI 1114084514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1063191633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 W FAYETTE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212016052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14333 LAUREL BOWIE RD STE 100",
"city": "LAUREL",
"state": "MD",
"postal_code": "207081149",
"telephone_number": "301-953-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREGLIA",
"first_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
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- Jeffrey Henry Brain, DDS
- Joseph Francis Branda, MD
- Edna Marie Brandt, L.AC.
- Marie A. Brantley, RNCS
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- Malomo Julian Bright
- Brighter Life Behavioral Health LLC
- Brighter Life Behavioral Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.