DR. MICHAEL SHANAHAN BLACKWOOD (NPI# 1972735017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972735017 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SHANAHAN BLACKWOOD |
| Credential | DDS, MS |
| Practice Address |
10000 Falls Rd Suite 209 Potomac MD 20854-4103 |
| Practice Telephone | 3019831096 |
| Mailing Telephone | 3019831096 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
11187 | MD | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DEN5374 | DC | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401007606 | VA | Dental Providers |
| Street Address |
10000 FALLS RD SUITE 209 |
| City | POTOMAC |
| State | MD |
| Zip Code | 20854-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952352155 | Inna Kost | Dentist | 10000 Falls Rd, Potomac, MD 20854-4103 | 2006-05-12 |
| 1801278544 | Huixin Wang | Dentist | 10000 Falls Rd, Suite 301, Potomac, MD 20854-4103 | 2015-06-18 |
| 1932307832 | Lisa Nicole Pfeffer Jager | Psychiatry & Neurology | 10000 Falls Rd, Suite 208, Potomac, MD 20854-4103 | 2007-07-03 |
| 1396890067 | Christine Caselles | Psychiatry & Neurology | 10000 Falls Rd, Suite 208, Potomac, MD 20854-4103 | 2007-01-24 |
| 1386798387 | Susan Felzer | Psychiatry & Neurology | 10000 Falls Rd, Suite 208, Potomac, MD 20854-4103 | 2007-01-23 |
| 1386667178 | Christopher Liang | Dentist | 10000 Falls Rd, Suite 214, Potomac, MD 20854-4103 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
| 1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
| 1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
| 1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
| 1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
| 1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
| 1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
| Find all providers in zip 20854 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386018372 | Daniel Levy, D.d.s.,m.s. | Dentist | 10004 Iron Gate Rd, Potomac, MD 20854-4726 | 2015-11-14 |
| 1891845459 | Mehdy Baghaei-rad | Dentist | 10122 River Rd, Suite 210, Potomac, MD 20854-4900 | 2007-01-12 |
| 1306913827 | Donald Vincent Liang | Dentist | 10000 Falls Road, Suite 214, Potomac, MD 20854 | 2006-11-29 |
| 1326128935 | Rodney Frank Golden | Dentist | 7817 Laurel Leaf Drive, Potomac, MD 20854 | 2006-10-17 |
| 1528424850 | Daniel Levy | Dentist | 10004 Iron Gate Rd, Potomac, MD 20854-4726 | 2015-12-31 |
| 1790162998 | Specialist In Orthodontics of Maryland, LLC | Dentist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2015-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234536 | Sheng Ge | Dentist | 305 W Fayette St Apt 1401, Baltimore, MD 21201-3467 | 2020-07-31 |
| 1619590668 | Gaithersburg Ortho LLC | Dentist | 814 W Diamond Ave Ste 300, Gaithersburg, MD 20878-1448 | 2020-05-26 |
| 1043859119 | Orthoroks, LLC | Dentist | 100 Shawan Rd Ste E, Hunt Valley, MD 21030-1459 | 2020-01-06 |
| 1609412592 | Nuclear Smiles LLC | Dentist | 10100 Twin Rivers Rd Apt 121, Columbia, MD 21044-2578 | 2019-11-26 |
| 1194361519 | Mary C. Trahar, Dds, Pa | Dentist | 52 Denton Plz, Denton, MD 21629-9501 | 2019-11-20 |
| 1376187336 | Chevy Chase Orthodontics | Dentist | 8401 Connecticut Ave Ste 620, Chevy Chase, MD 20815-5803 | 2019-11-03 |
| 1003465477 | Meghan Mcinnes Palmer | Dentist | 8322 Bellona Ave Ste 310, Towson, MD 21204-2077 | 2019-09-09 |
| 1245716232 | Tj Orthodontics | Dentist | 198 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4432 | 2018-07-13 |
| 1275028326 | John William Serino | Dentist | 538 Cynwood Dr Ste 1, Easton, MD 21601-3887 | 2018-06-29 |
| 1487146353 | Christopher Jason Scott | Dentist | 10045 Baltimore National Pike Ste A1, Ellicott City, MD 21042-3673 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL SHANAHAN BLACKWOOD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.