Breezy Hill Ortho Group, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BREEZY HILL ORTHO GROUP, LLC

Practice address

3905 National Dr Ste 340
Burtonsville, MD 20866-6111

Phone

(301) 857-9096

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Latoya Callahan, DDSNPI 1801993530

Title

Owner/Orthodontist

Phone

(301) 857-9096

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latoya Callahan, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laurel, MD
  • NPI 1801993530
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1073330726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 340",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 340",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666111",
            "telephone_number": "301-857-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZY HILL ORTHO GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "301-857-9096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "16218",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josiane B Bougang Feuzeu
• Valerie Boute
• Nicholas Boyd, DDS
• Jemeel Brady
• Leeann Brady
• Brian S. Kressin
• Bright Today Psychiatry LLC
• Demetria Bright
• Stephanie Brown-Blackman
• Dwight Brown, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.