NPIMap

Organization Active NPI

Bel Air Dental Associates

  • General Practice Dentistry
  • Bel Air, MD
National Provider Identifier
1245441625
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8530 Issued in MD
Legal business name
BEL AIR DENTAL ASSOCIATES
Practice address
10 W. Broadway
Lower Level
Bel Air, MD 21014
Phone
(410) 879-8189
Fax
(410) 879-6121
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stavros Papaeracleous, DDS
Title
Dentist
Phone
(410) 879-8189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8530 MD Primary

Addresses

Primary practice location

10 W. Broadway
Lower Level
Bel Air, MD 21014

Mailing address

10 W. Broadway
Lower Level
Bel Air, MD 21014
Phone (410) 879-8189

National Provider Directory

National Provider Directory

Locations

10 W Broadway
Lowr
Bel Air, MD 21014
Phone (410) 879-8189

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245441625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W. BROADWAY",
            "address_2": "LOWER LEVEL",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-879-8189",
            "fax_number": "410-879-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W. BROADWAY",
            "address_2": "LOWER LEVEL",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-879-8189",
            "fax_number": "410-879-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL AIR DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAPAERACLEOUS",
        "authorized_official_first_name": "STAVROS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-879-8189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.