NPIMap

Organization Active NPI

Bestadental LLC

  • Dentist
  • Rockville, MD
National Provider Identifier
1023642345
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BESTADENTAL LLC
Practice address
15204 Omega Dr Ste 250
Rockville, MD 20850-4601
Phone
(240) 580-8818
Fax
(240) 580-8819
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Dr. Liang Fang, DMDNPI 1215385331
Title
Office Manager
Phone
(443) 763-6657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

15204 Omega Dr Ste 250
Rockville, MD 20850-4601

Mailing address

15204 Omega Dr Ste 250
Rockville, MD 20850-4601
Phone (240) 580-8818

Other names 1

  • BestaDental Doing business as

National Provider Directory

National Provider Directory

Locations

15204 Omega Dr
Ste 250
Rockville, MD 20850
Phone (240) 580-8818

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1023642345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15204 OMEGA DR STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504601",
            "telephone_number": "240-580-8818",
            "fax_number": "240-580-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15204 OMEGA DR STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504601",
            "telephone_number": "240-580-8818",
            "fax_number": "240-580-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTADENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "LIANG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "443-763-6657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BestaDental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.