Damian D Blum, D.M.D., P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8645 Issued in MD

Practice address

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

Phone

(410) 465-3224

Fax

(410) 465-4760

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Modarres Dental Group

  • Dentist
  • Ellicott City, MD
  • NPI 1891274759
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1679674972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10132 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE #C",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423607",
            "telephone_number": "410-465-3224",
            "fax_number": "410-465-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10132 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE #C",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423607",
            "telephone_number": "410-465-3224",
            "fax_number": "410-465-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "DAMIAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella M Blais, PA
• Bridget A. Blandina, O.D.
• Sara Malone Blankenburg
• Seth Blosser
• Craig Blucher, D.D.S.
• Mary E Blum, OT
• Lois Lydia Bly, MA, PT
• BNB Caring Hearts LLC
• Eunice Borlagdan Bobis, PT
• Monica Laney Boddie, LCSW-C

• General Practice Dentistry in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.