NPIMap

Organization Active NPI

Blue Sky Dental Care

  • Dentist
  • Bel Air, MD
National Provider Identifier
1306185061
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13486 Issued in MD
Legal business name
BLUE SKY DENTAL CARE
Practice address
2120 Blue Spruce Dr E
#B
Bel Air, MD 21015-6802
Phone
(410) 569-9492
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Daniel M McLellan, DDSNPI 1790931822
Title
Owner
Phone
(410) 569-9492

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13486 MD Primary

Addresses

Primary practice location

2120 Blue Spruce Dr E
#B
Bel Air, MD 21015-6802

Mailing address

2120 Blue Spruce Dr E
#B
Bel Air, MD 21015-6802
Phone (410) 569-9492

National Provider Directory

National Provider Directory

Locations

2120 Blue Spruce Dr E
Ste B
Bel Air, MD 21015
Phone (410) 569-9492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1306185061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 BLUE SPRUCE DR E",
            "address_2": "#B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156802",
            "telephone_number": "410-569-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BLUE SPRUCE DR E",
            "address_2": "#B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156802",
            "telephone_number": "410-569-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "MCLELLAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-569-9492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13486",
            "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 Jan 31, 2013; 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.