NPIMap

Organization Active NPI

DMV Surgical Associates, Inc.

  • Surgical Assistant
  • Laurel, MD
National Provider Identifier
1053761528
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA0117 Issued in DC
Legal business name
DMV SURGICAL ASSOCIATES, INC.
Practice address
14103 Corunna CT
Laurel, MD 20707-6901
Phone
(301) 531-4554
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Heber De Oliveira, CSANPI 1932478575
Title
Principal
Phone
(301) 531-4554

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
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X SA0117 DC Primary

Addresses

Primary practice location

14103 Corunna CT
Laurel, MD 20707-6901

Mailing address

14103 Corunna CT
Laurel, MD 20707-6901

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1053761528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14103 CORUNNA CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14103 CORUNNA CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076901",
            "telephone_number": "301-531-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMV SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "DE OLIVEIRA",
        "authorized_official_first_name": "HEBER",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "301-531-4554",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "SA0117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.