Organization Active NPI

Children Dental Care, Inc.

  • Pediatric Dentistry
  • Gaithersburg, MD
National Provider Identifier
1073939310
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12363 Issued in MD
Legal business name
CHILDREN DENTAL CARE, INC.
Practice address
803 Russell Ave Ste 2a
Gaithersburg, MD 20879-3584
Phone
(301) 216-1780
Fax
(301) 258-2800
NPI assigned
Mar 11, 2014
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
James Tong, DMDNPI 1174641419
Title
Dentist/Owner
Phone
(301) 216-1780

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
Pediatric Dentistry 1223P0221X 12363 MD Primary

Addresses

Primary practice location

803 Russell Ave Ste 2a
Gaithersburg, MD 20879-3584

Mailing address

803 Russell Ave Ste 2a
Gaithersburg, MD 20879-3584
Phone (301) 216-1780

National Provider Directory

National Provider Directory

Locations

803 Russell Ave
Ste 2A
Gaithersburg, MD 20879
Phone (301) 216-1780

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": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1073939310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 RUSSELL AVE STE 2A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793584",
            "telephone_number": "301-216-1780",
            "fax_number": "301-258-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 RUSSELL AVE STE 2A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793584",
            "telephone_number": "301-216-1780",
            "fax_number": "301-258-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-216-1780",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "12363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.