Active NPI
Arnold L Kellar, DDS
- Dentist
- Westminster, MD
National Provider Identifier
1265518922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- MD10242
- Practice address
- 532 Baltimore Blvd
#412
Westminster, MD 21157 - Phone
- (410) 876-1747
- Fax
- (410) 876-1927
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10242 | MD | |
| Dentist | 122300000X | MD10242 | MD | Primary |
Addresses
Primary practice location
532 Baltimore Blvd
#412
Westminster, MD 21157
Mailing address
532 Baltimore Blvd
#412
Westminster, MD 21157
Phone (410) 876-1747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10242 | MD | MD | Dentist |
| 10242 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bae Dental Associates-Westminster LLC | General Practice | Past | Accepting new patients |
| Dental Concepts | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Westminster, MD
- NPI 1346695616
-
- General Practice Dentistry
- Westminster, MD
- NPI 1003952367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1265518922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 BALTIMORE BLVD",
"address_2": "#412",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "21157",
"telephone_number": "410-876-1747",
"fax_number": "410-876-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 BALTIMORE BLVD",
"address_2": "#412",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "21157",
"telephone_number": "410-876-1747",
"fax_number": "410-876-1927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLAR",
"first_name": "ARNOLD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "10242",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "MD10242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.