Damian D. Blum D.M.D., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8645 Issued in MD

Legal business name

DAMIAN D. BLUM D.M.D., P.A.

Practice address

10132 Baltimore National Pike Ste C
Ellicott City, MD 21042-3607

Phone

(410) 313-9163

NPI assigned

Jun 14, 2012

Last updated

Feb 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Damian D Blum

Title

Doctor

Phone

(410) 313-9163

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1639431760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10132 BALTIMORE NATIONAL PIKE STE C",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423607",
            "telephone_number": "410-313-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10132 BALTIMORE NATIONAL PIKE STE C",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423607",
            "telephone_number": "410-313-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIAN D. BLUM D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-313-9163",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.