Organization Active NPI

MD Smile Center

  • General Practice Dentistry
  • Fort Washington, MD
National Provider Identifier
1053637140
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051378 Issued in NY
Legal business name
MD SMILE CENTER
Practice address
10905 Fort Washington Rd
Ste 208
Fort Washington, MD 20744-5843
Phone
(301) 292-6807
Fax
(301) 292-6860
NPI assigned
Apr 14, 2010
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Dr. Vikas Arora, DDS
Title
Owner
Phone
(301) 292-6807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 051378 NY Primary

Addresses

Primary practice location

10905 Fort Washington Rd
Ste 208
Fort Washington, MD 20744-5843

Mailing address

10905 Fort Washington Rd
Ste 208
Fort Washington, MD 20744-5843
Phone (301) 292-6807

Other identifiers 1

IdentifierTypeStateIssuer
02596261MedicaidNY

National Provider Directory

National Provider Directory

Locations

10905 Fort Washington Rd
Ste 208
Fort Washington, MD 20744
Phone (301) 292-6807

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1053637140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 FORT WASHINGTON RD",
            "address_2": "STE 208",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445843",
            "telephone_number": "301-292-6807",
            "fax_number": "301-292-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 FORT WASHINGTON RD",
            "address_2": "STE 208",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445843",
            "telephone_number": "301-292-6807",
            "fax_number": "301-292-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SMILE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-292-6807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02596261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.