NPIMap

Organization Active NPI

Pro-Hygiene

  • Dentist
  • Elkridge, MD
National Provider Identifier
1154557353
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08363 Issued in MD
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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.

Verify at the official NPI Registry.