My Kids Dental Center, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MY KIDS DENTAL CENTER, LLC

Practice address

10801 Lockwood Dr Ste 205
Silver Spring, MD 20901-1563

Phone

(240) 670-4780

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Sacha Walters Cargill, DDSNPI 1538313481

Title

Dentist/Owner

Phone

(240) 670-4780

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sacha Delisa Walters Cargill, DDS

  • Pediatric Dentistry
  • Silver Spring, MD
  • NPI 1538313481
  NPD Authorized official

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1083367734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 205",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 205",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011563",
            "telephone_number": "240-670-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KIDS DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "WALTERS CARGILL",
        "authorized_official_first_name": "SACHA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "240-670-4780",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1538313481",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Achille Gerard Mvondo
• Anna Mwake
• Annabel M. Mwamba
• Jeannette Mwangacucu, LCSW-C
• Bethann Lungamai Mwombela
• My Mobile Primary Health Care, LLC
• Andrew Myers
• Myeyedr Optometry of Maryland, LLC
• Myeyedr Optometry of Maryland, LLC
• Myeyedr Optometry of Maryland, LLC

• Pediatric Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.