NPIMap

Organization Active NPI

David Bonebreak DDS Ms LLC

  • Dental Clinic/Center
  • Hanover, MD
National Provider Identifier
1083093322
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14232 Issued in MD
Legal business name
DAVID BONEBREAK DDS MS LLC
Practice address
7556 Teague Rd
Suite 106
Hanover, MD 21076-1213
Phone
(410) 799-8220
NPI assigned
May 20, 2015
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Dr. David Bonebreak, DDSNPI 1902102254
Title
Owner
Phone
(443) 956-5814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 14232 MD Primary

Addresses

Primary practice location

7556 Teague Rd
Suite 106
Hanover, MD 21076-1213

Mailing address

100 Harborview Dr
Unit 1309
Baltimore, MD 21230-5415
Phone (443) 956-5814

National Provider Directory

National Provider Directory

Locations

7556 Teague Rd
Ste 106
Hanover, MD 21076
Phone (410) 799-8220

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1083093322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HARBORVIEW DR",
            "address_2": "UNIT 1309",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305415",
            "telephone_number": "443-956-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 TEAGUE RD",
            "address_2": "SUITE 106",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761213",
            "telephone_number": "410-799-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BONEBREAK DDS MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "BONEBREAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-956-5814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "14232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.