Qods Ortho LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

QODS ORTHO LLC

Practice address

849 Quince Orchard Blvd Ste D
Gaithersburg, MD 20878-1604

Phone

(301) 527-2725

Fax

(301) 527-2724

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Casey Galante

Title

Practice Manager

Phone

(301) 527-2725

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1043809650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 QUINCE ORCHARD BLVD STE E",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781604",
            "telephone_number": "301-527-2725",
            "fax_number": "301-527-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 QUINCE ORCHARD BLVD STE D",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781604",
            "telephone_number": "301-527-2725",
            "fax_number": "301-527-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QODS ORTHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "GALANTE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "301-527-2725"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "849 Quince Orchard Blvd Ste D",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208781604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.