NPIMap

Organization Active NPI

Family Dentistry of Buckeystown Pike

  • Dentist
  • Frederick, MD
National Provider Identifier
1073904512
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13430 Issued in MD
Legal business name
FAMILY DENTISTRY OF BUCKEYSTOWN PIKE
Practice address
5732 Buckeystown Pike Ste 26
Frederick, MD 21704-5214
Phone
(301) 695-0909
Fax
(301) 695-8133
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Jasmin Kaur, DDS
Title
President
Phone
(301) 695-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 13430 MD Primary

Addresses

Primary practice location

5732 Buckeystown Pike Ste 26
Frederick, MD 21704-5214

Mailing address

5732 Buckeystown Pike Ste 26
Frederick, MD 21704-5214
Phone (301) 695-0909

Other identifiers 1

IdentifierTypeStateIssuer
025946200MedicaidMD

National Provider Directory

National Provider Directory

Locations

5732 Buckeystown Pike
Ste 26
Frederick, MD 21704
Phone (301) 695-0909

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1073904512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5732 BUCKEYSTOWN PIKE STE 26",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045214",
            "telephone_number": "301-695-0909",
            "fax_number": "301-695-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5732 BUCKEYSTOWN PIKE STE 26",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045214",
            "telephone_number": "301-695-0909",
            "fax_number": "301-695-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF BUCKEYSTOWN PIKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-695-0909",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025946200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.