NPIMap

Organization Active NPI

Montgomery County Maryland Government

  • Dental Clinic/Center
  • Rockville, MD
National Provider Identifier
1093094476
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Practice address
1335 Piccard Dr
1St Floor Dental Suite
Rockville, MD 20850-4359
Phone
(240) 777-1820
Fax
(240) 777-1080
NPI assigned
Aug 16, 2011
Organization subpart
Yes
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Mrs. Jameelah Johnson
Title
Manager
Phone
(240) 733-1121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

1335 Piccard Dr
1St Floor Dental Suite
Rockville, MD 20850-4359

Mailing address

401 Hungerford Dr FL 6
Rockville, MD 20850-4154
Phone (240) 777-4520

Other identifiers 1

IdentifierTypeStateIssuer
420870600MedicaidMD

Other names 1

  • DHHS Dental Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mont Co Dept of Health99 organizations share this tax ID, including this one
Part of
Mont Co Dept of Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1335 Piccard Dr
Fl 1
Rockville, MD 20850
Phone (240) 777-1820

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1093094476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HUNGERFORD DR FL 6",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504154",
            "telephone_number": "240-777-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PICCARD DR",
            "address_2": "1ST FLOOR DENTAL SUITE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504359",
            "telephone_number": "240-777-1820",
            "fax_number": "240-777-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY COUNTY MARYLAND GOVERNMENT",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMEELAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-733-1121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420870600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHHS Dental Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.