Active NPI
Michael Bryant, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Windsor Mill, MD
National Provider Identifier
1346399649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12506
- Practice address
- 7147 Security Blvd Ste 100
Windsor Mill, MD 21244-1811 - Phone
- (443) 200-2915
- Fax
- (443) 200-3827
- NPI assigned
- Jan 9, 2007
- Last updated
- Nov 2, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12506 | MD | Primary |
Addresses
Primary practice location
7147 Security Blvd Ste 100
Windsor Mill, MD 21244-1811
Mailing address
7147 Security Blvd Ste 100
Windsor Mill, MD 21244-1811
Phone (443) 200-2915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134329121 | Medicaid | MD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryant Dental Group | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
7147 Security Blvd
Ste 100
Windsor Mill, MD 21244
Phone (410) 298-8787
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Windsor Mill, MD
- NPI 1134329121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1346399649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7147 SECURITY BLVD STE 100",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441811",
"telephone_number": "443-200-2915",
"fax_number": "443-200-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7147 SECURITY BLVD STE 100",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441811",
"telephone_number": "443-200-2915",
"fax_number": "443-200-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2023-11-02",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "12506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134329121",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.