Active NPI
Gabrielle Larrea Ramellini, DMD
- General Practice Dentistry
- Leonardtown, MD
National Provider Identifier
1053390922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12868
- Practice address
- 23140 Moakley St
Ste 5
Leonardtown, MD 20650-2930 - Phone
- (301) 475-2881
- Fax
- (301) 475-5486
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12868 | MD | Primary |
Addresses
Primary practice location
23140 Moakley St
Ste 5
Leonardtown, MD 20650-2930
Mailing address
23140 Moakley St
Ste 5
Leonardtown, MD 20650-2930
Phone (301) 475-2881
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care of Maryland, Badger, P.C. | General Practice | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Leonardtown, MD
- NPI 1669893475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053390922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23140 MOAKLEY ST",
"address_2": "STE 5",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502930",
"telephone_number": "301-475-2881",
"fax_number": "301-475-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23140 MOAKLEY ST",
"address_2": "STE 5",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502930",
"telephone_number": "301-475-2881",
"fax_number": "301-475-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMELLINI",
"first_name": "GABRIELLE",
"middle_name": "LARREA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "12868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.