NPIMap

Organization Active NPI

Ib Dental I, P.C.

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1083014591
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14139 Issued in MD
Legal business name
IB DENTAL I, P.C.
Practice address
6105 Harford Rd
Baltimore, MD 21214-1312
Phone
(410) 254-5437
Fax
(410) 254-5310
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Robert Dayse, DDS
Title
Owner/Director
Phone
(410) 254-5437

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 14139 MD Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 14139 MD
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 14139 MD

Addresses

Primary practice location

6105 Harford Rd
Baltimore, MD 21214-1312

Mailing address

6105 Harford Rd
Baltimore, MD 21214-1312
Phone (410) 254-5437

Other names 1

  • iBrush Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

6105 Harford Rd
Baltimore, MD 21214
Phone (410) 254-5437

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1083014591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141312",
            "telephone_number": "410-254-5437",
            "fax_number": "410-254-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141312",
            "telephone_number": "410-254-5437",
            "fax_number": "410-254-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IB DENTAL I, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "DAYSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "410-254-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14139",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "14139",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "14139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iBrush Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.