My Ellicott City Dentist LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MY ELLICOTT CITY DENTIST LLC

Practice address

10050 Baltimore National Pike Ste F110
Ellicott City, MD 21042-3668

Phone

(410) 480-2000

NPI assigned

Jul 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Cyrus Allafi, DDS

Title

Ceo

Phone

(410) 480-2000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Don Anthony Coronel, DDS

  • Dentist
  • Ellicott City, MD
  • NPI 1407065907
  NPD (past)

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1689283681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 BALTIMORE NATIONAL PIKE STE F110",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423668",
            "telephone_number": "410-480-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 BALTIMORE NATIONAL PIKE STE F110",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423668",
            "telephone_number": "410-480-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ELLICOTT CITY DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-26",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "ALLAFI",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-480-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki J Murphy, PHD
• Beverly Murray, OTR/L
• Christopher Dale Murray
• Mary Kathleen Murray, LGMFT
• Nausheen Mushtaq, MS SLP
• Kelley Lynn Myers, FNP
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
• Debra Jay Myhand
• Mypt
• Wafa Nachifa

• 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 Nov 28, 2021; 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.