Individual provider Active NPI

Steven M. Anolik, D.D.S.

  • General Practice Dentistry
  • Montgomery Village, MD
National Provider Identifier
1053511212
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11022 Issued in MD
Practice address
19221 Montgomery Village Ave
Suite C-23
Montgomery Village, MD 20886-5022
Phone
(301) 948-8838
Fax
(301) 948-1303
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11022 MD Primary

Addresses

Primary practice location

19221 Montgomery Village Ave
Suite C-23
Montgomery Village, MD 20886-5022

Mailing address

19221 Montgomery Village Ave
Suite C-23
Montgomery Village, MD 20886-5022
Phone (301) 948-8838

Other names 1

  • Dr. Steven M. Anolik Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208000158 MD Order and Referring Only - DentistPractitioner - Dentist 6204130503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11022MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1053511212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE C-23",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865022",
            "telephone_number": "301-948-8838",
            "fax_number": "301-948-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE C-23",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865022",
            "telephone_number": "301-948-8838",
            "fax_number": "301-948-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANOLIK",
        "first_name": "STEVEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "ANOLIK",
            "middle_name": "M.",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery Village, MD

Sources for this page

Verify at the official NPI Registry.