Maryland Sleep Doc Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARYLAND SLEEP DOC INC

Practice address

5005 Signal Bell LN Ste 210
Clarksville, MD 21029-2608

Phone

(408) 802-0664

NPI assigned

Nov 5, 2024

Organization subpart

No

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

Authorized official

Name

Neelima Krishna Yerra, DDSNPI 1427420843

Title

President

Phone

(408) 802-0664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Neelima Krishna Yerra, DDS

  • Dentist
  • Brooklyn, MD
  • NPI 1427420843
  NPD (past) Authorized official

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1902629272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10348 PUCCINI LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 SIGNAL BELL LN STE 210",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210292608",
            "telephone_number": "408-802-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND SLEEP DOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "YERRA",
        "authorized_official_first_name": "NEELIMA",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-802-0664",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roselynne Angelina Mackay, MS, CNS, LDN
• Magnatel MD LLC
• Maggie Mannion
• Maryland CVS Pharmacy LLC (CVS Pharmacy # 10648)
• Maryland Mobile Anesthesia Services Inc
• Maryland Spine and Sports Surgi-Center, L.L.C.
• Maryland Sportscare & Rehab, LLC (Pivot Physical Therapy)
• Sonya Roselle McCollum, LICSW
• Amy Marie McLaughlin
• Dharmang Mehta, PHARM.D

• Dentist in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.