NPIMap

Organization Active NPI

CPDG,Ab, LLC

  • Pediatric Dentistry
  • Abingdon, MD
National Provider Identifier
1033657986
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12770 Issued in MD
Legal business name
CPDG,AB, LLC
Practice address
3400 Box Hill Corporate Center Drive
Suite 120
Abingdon, MD 21009
Phone
(410) 248-3384
NPI assigned
Feb 10, 2017
Last updated
Feb 10, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CHESAPEAKE PEDIATRIC DENTAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Dr. Hakan Koymen, DDS, MSNPI 1467515049
Title
President
Phone
(410) 248-3384

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
Pediatric Dentistry 1223P0221X 12770 MD Primary

Addresses

Primary practice location

3400 Box Hill Corporate Center Drive
Suite 120
Abingdon, MD 21009

Mailing address

3400 Box Hill Corporate Center Drive
Suite 120
Abingdon, MD 21009
Phone (410) 248-3384

National Provider Directory

National Provider Directory
Part of
Chesapeake Pediatric Dental Group Inc

Locations

3400 Box Hll Corp Center Dr
Ste 120
Abingdon, MD 21009
Phone (410) 248-3384

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1033657986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BOX HILL CORPORATE CENTER DRIVE",
            "address_2": "SUITE 120",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "21009",
            "telephone_number": "410-248-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BOX HILL CORPORATE CENTER DRIVE",
            "address_2": "SUITE 120",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "21009",
            "telephone_number": "410-248-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPDG,AB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESAPEAKE PEDIATRIC DENTAL GROUP, INC",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "KOYMEN",
        "authorized_official_first_name": "HAKAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-248-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "12770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.