Douglas G Drewyer, DDS MA LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7837 Issued in MD

Practice address

4009 Sandy Spring Road
Suite 201
Burtonsville, MD 20866

Phone

(301) 622-1717

Fax

(301) 622-4994

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Austin D. Drewyer L.L.C.

  • General Practice Dentistry
  • Burtonsville, MD
  • NPI 1013639970
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1093800690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 SANDY SPRING ROAD",
            "address_2": "SUITE 201",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "20866",
            "telephone_number": "301-622-1717",
            "fax_number": "301-622-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 SANDY SPRING ROAD",
            "address_2": "SUITE 201",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "20866",
            "telephone_number": "301-622-1717",
            "fax_number": "301-622-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWYER",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "credential": "DDS MA LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta J. Dosh, D.D.S.
• Gladys Douniama Ewengue
• Dr Juhi F Nayeem MD
• Dr Monica Cross Doctor of Optometry Inc
• Austin David Drewyer, DDS
• Millicent Dunbar
• Deborah Edewor, PHARMD
• Marence Ewurama Edu
• Curtis Edwards, LGPC
• Ejiro Esi DDS PC (esi orthodontics)

• General Practice Dentistry in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.