NPIMap

Organization Active NPI

Dentist and Dental Implants Near Me

  • Dentist
  • College Park, MD
National Provider Identifier
1033937990
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTIST AND DENTAL IMPLANTS NEAR ME
Practice address
4809 Greenbelt Rd
College Park, MD 20740-2001
Phone
(240) 696-3668
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Qing Xu, DDSNPI 1235507575
Title
Dentist
Phone
(703) 623-2388

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

4809 Greenbelt Rd
College Park, MD 20740-2001

Mailing address

4809 Greenbelt Rd
College Park, MD 20740-2001
Phone (240) 696-3668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1033937990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 GREENBELT RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402001",
            "telephone_number": "240-696-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 GREENBELT RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402001",
            "telephone_number": "240-696-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST AND DENTAL IMPLANTS NEAR ME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "QING",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-623-2388",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.