Active NPI
Pro-Hygiene
- Dentist
- Elkridge, MD
National Provider Identifier
1154557353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08363
- Legal business name
- PRO-HYGIENE
- Practice address
- 8182 Lark Brown Rd
Ste 101
Elkridge, MD 21075-6428 - Phone
- (410) 799-2692
- NPI assigned
- Jun 3, 2009
- Last updated
- Jun 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Blank, DDS
- Title
- Owner
- Phone
- (410) 799-2692
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 08363 | MD | Primary |
Addresses
Primary practice location
8182 Lark Brown Rd
Ste 101
Elkridge, MD 21075-6428
Mailing address
PO Box 559
Mount Airy, MD 21771-0559
Phone (410) 799-2692
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Elkridge, MD
- NPI 1811055429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243987200000",
"number": "1154557353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 559",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217710559",
"telephone_number": "410-799-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8182 LARK BROWN RD",
"address_2": "STE 101",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756428",
"telephone_number": "410-799-2692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO-HYGIENE",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-03",
"status": "A",
"authorized_official_last_name": "BLANK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-799-2692",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MD",
"license": "08363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.