NPIMap

Organization Active NPI

Maryland Dental Specialty Group

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1003167727
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11536 Issued in MD
Legal business name
MARYLAND DENTAL SPECIALTY GROUP
Practice address
13975 Connecticut Ave
Suite # 208
Silver Spring, MD 20906-2921
Phone
(301) 598-3951
NPI assigned
Sep 20, 2012
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dr. Soorita Dvi Goorah, DDSNPI 1730198938
Title
Dentist
Phone
(301) 598-3951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11536 MD Primary

Addresses

Primary practice location

13975 Connecticut Ave
Suite # 208
Silver Spring, MD 20906-2921

Mailing address

13975 Connecticut Ave
Suite # 208
Silver Spring, MD 20906-2921
Phone (301) 598-3951

National Provider Directory

National Provider Directory

Locations

13975 Connecticut Ave
Ste 208
Silver Spring, MD 20906
Phone (301) 460-1212

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1003167727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE",
            "address_2": "SUITE # 208",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062921",
            "telephone_number": "301-598-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE",
            "address_2": "SUITE # 208",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062921",
            "telephone_number": "301-598-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND DENTAL SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "GOORAH",
        "authorized_official_first_name": "SOORITA",
        "authorized_official_middle_name": "DVI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-598-3951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.