Active NPI
Dmitry Nurminsky, D.D.S., PH.D.
- Dentist
- Bowie, MD
National Provider Identifier
1023454667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15795
- Practice address
- 1522 Pointer Ridge PL
Suite K
Bowie, MD 20716-1875 - Phone
- (301) 249-9098
- NPI assigned
- May 21, 2013
- Last updated
- Mar 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039570 | PA | |
| Dentist | 122300000X | 15795 | MD | Primary |
Addresses
Primary practice location
1522 Pointer Ridge PL
Suite K
Bowie, MD 20716-1875
Mailing address
1612 Charmuth Rd
Zdentist LLC
Lutherville, MD 21093-5757
Phone (508) 904-5287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15795 | MD | MD | Dentist |
| DS039570 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zdentist LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Bowie, MD
- NPI 1396103875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1023454667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 CHARMUTH RD",
"address_2": "ZDENTIST LLC",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210935757",
"telephone_number": "508-904-5287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 POINTER RIDGE PL",
"address_2": "SUITE K",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161875",
"telephone_number": "301-249-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NURMINSKY",
"first_name": "DMITRY",
"credential": "D.D.S., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039570",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.