NPIMap

Organization Active NPI

Family Cosmetic & Implant Dentistry

  • General Practice Dentistry
  • Adelphi, MD
National Provider Identifier
1073812913
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MD11535 Issued in MD
Legal business name
FAMILY COSMETIC & IMPLANT DENTISTRY
Practice address
3222 Powder Mill Rd
Adelphi, MD 20783-1037
Phone
(301) 937-8872
NPI assigned
Mar 17, 2011
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Dr. Marvalee M Mattrasingh, DDSNPI 1083795033
Title
President
Phone
(301) 937-8872

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X MD11535 MD Primary
Prosthodontics 1223P0700X MD11549 MD

Addresses

Primary practice location

3222 Powder Mill Rd
Adelphi, MD 20783-1037

Mailing address

3222 Powder Mill Rd
Adelphi, MD 20783-1037
Phone (301) 937-8872

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1073812913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 POWDER MILL RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831037",
            "telephone_number": "301-937-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 POWDER MILL RD",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831037",
            "telephone_number": "301-937-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COSMETIC & IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "MATTRASINGH",
        "authorized_official_first_name": "MARVALEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-937-8872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD11535",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "MD11549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.