Active NPI
Cary Bly, DDS
- Periodontics
- Annapolis, MD
National Provider Identifier
1326351990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 14014
- Practice address
- 2448 Holly Ave
Suite #202
Annapolis, MD 21401-3148 - Phone
- (410) 224-0500
- NPI assigned
- Jul 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 14014 | MD | Primary |
Addresses
Primary practice location
2448 Holly Ave
Suite #202
Annapolis, MD 21401-3148
Mailing address
2448 Holly Ave
Suite #202
Annapolis, MD 21401-3148
Phone (410) 224-0500
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 |
|---|---|---|---|
| 14014 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1326351990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 HOLLY AVE",
"address_2": "SUITE #202",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013148",
"telephone_number": "410-224-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 HOLLY AVE",
"address_2": "SUITE #202",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013148",
"telephone_number": "410-224-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLY",
"first_name": "CARY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "14014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.