NPIMap

Organization Active NPI

Germantown Dental Service

  • Dentist
  • Germantown, MO
National Provider Identifier
1083687404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12512 Issued in MD
Legal business name
GERMANTOWN DENTAL SERVICE
Practice address
19513 Doctors Dr
Germantown, MO 20874
Phone
(301) 972-5000
Fax
(301) 972-9538
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Riffat Ajmsi, DDS
Title
Principal
Phone
(301) 972-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12512 MD Primary

Addresses

Primary practice location

19513 Doctors Dr
Germantown, MO 20874

Mailing address

19513 Doctors Dr
Germantown, MO 20874
Phone (301) 972-5000

National Provider Directory

National Provider Directory

Locations

19513 Doctors Dr
Germantown, MD 20874
Phone (301) 972-5000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083687404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19513 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MO",
            "postal_code": "20874",
            "telephone_number": "301-972-5000",
            "fax_number": "301-972-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19513 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MO",
            "postal_code": "20874",
            "telephone_number": "301-972-5000",
            "fax_number": "301-972-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN DENTAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AJMSI",
        "authorized_official_first_name": "RIFFAT",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "301-972-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.