Kids by the Bay Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KIDS BY THE BAY DENTAL LLC

Practice address

5010 Regency Place Ste 102
White Plains, MD 20695

Phone

(240) 776-2203

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Joseph Brannon Jr., DDSNPI 1871887521

Title

Member

Phone

(240) 776-2203

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Joseph Brannon Jr., D.D.S.

  • Dentist
  • Owings Mills, MD
  • NPI 1871887521
  NPD (past) Authorized official

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1962914507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 REGENCY PLACE STE 102",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "20695",
            "telephone_number": "240-776-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 REGENCY PLACE STE 102",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "20695",
            "telephone_number": "240-776-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS BY THE BAY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "240-776-2203",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX6939",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atul Katyal, MD
• Kirandeep Kaur, MD
• Darpan Kayastha, MD
• Kassandra Kerns, LMSW
• Kidney Medical Associates Inc
• Julie Ahyoung Kim, PA-C
• King Oral Surgery Associates LLC
• King Oral Surgery Associates, LLC
• Michael A King, DDS
• Rebecca A Kinuani, BSN, RN

• Dental Clinic/Center in White Plains, MD
• Providers in White Plains, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.