Individual provider Active NPI

Bruce Ellington Yuille, DDS

  • General Practice Dentistry
  • Cantonsville, MD
National Provider Identifier
1598860421
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D01811 Issued in MD
Practice address
700 Geipe Road
Suite 270
Cantonsville, MD 21228-4147
Phone
(410) 566-1550
Fax
(410) 744-0167
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D01811 MD Primary

Addresses

Primary practice location

700 Geipe Road
Suite 270
Cantonsville, MD 21228-4147

Mailing address

9637 Woodland Road
New Market, MD 21774-2942
Phone (301) 865-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201002334 MD Order and Referring Only - DentistPractitioner - Dentist 1759685415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D01811MDMDGeneral Practice Dentistry
6192MDMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598860421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9637 WOODLAND ROAD",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217742942",
            "telephone_number": "301-865-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GEIPE ROAD",
            "address_2": "SUITE 270",
            "city": "CANTONSVILLE",
            "state": "MD",
            "postal_code": "212284147",
            "telephone_number": "410-566-1550",
            "fax_number": "410-744-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUILLE",
        "first_name": "BRUCE",
        "middle_name": "ELLINGTON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "D01811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cantonsville, MD

Sources for this page

Verify at the official NPI Registry.