NPIMap

Organization Active NPI

Dayspring Pediatrics, LLC

  • Pediatrics Physician
  • Rising Sun, MD
National Provider Identifier
1720050149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DAYSPRING PEDIATRICS, LLC
Practice address
120 Ryan Dr
Rising Sun, MD 21911-1840
Phone
(410) 658-1300
Fax
(410) 658-1828
NPI assigned
Feb 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Reynaldo Apiado Ebreo, M.D.
Title
Owner
Phone
(410) 658-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

120 Ryan Dr
Rising Sun, MD 21911-1840

Mailing address

120 Ryan Dr
Rising Sun, MD 21911-1840
Phone (410) 658-1300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720050149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RYAN DR",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219111840",
            "telephone_number": "410-658-1300",
            "fax_number": "410-658-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RYAN DR",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219111840",
            "telephone_number": "410-658-1300",
            "fax_number": "410-658-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSPRING PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBREO",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "APIADO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-658-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rising Sun, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.