Organization Active NPI

Chilo Obianwu DMD. All Smiles Dental Care P.C

  • Dentist
  • Fort Washington, MD
National Provider Identifier
1104053545
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13826 Issued in MD
Legal business name
CHILO OBIANWU DMD. ALL SMILES DENTAL CARE P.C
Practice address
12803 Old Fort Rd Ste 203
Fort Washington, MD 20744-2801
Phone
(240) 253-1965
Fax
(240) 253-1966
NPI assigned
Jun 12, 2009
Organization subpart
Yes
Parent organization
CHILO OBIANWU DMD. ALL SMILES DENTAL CARE P.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Chilo N Obianwu
Title
DMD
Phone
(301) 702-4080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13826 MD Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

12803 Old Fort Rd Ste 203
Fort Washington, MD 20744-2801

Mailing address

12803 Old Fort Rd Ste 203
Fort Washington, MD 20744-2801
Phone (240) 253-1965

Other identifiers 1

IdentifierTypeStateIssuer
010761101MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
All Smiles Dental Care3 organizations share this tax ID, including this one
Part of
All Smiles Dental Care

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12803 Old Fort Rd
Ste 203
Ft Washington, MD 20744
Phone (240) 253-1965

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1104053545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12803 OLD FORT RD STE 203",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442801",
            "telephone_number": "240-253-1965",
            "fax_number": "240-253-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12803 OLD FORT RD STE 203",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442801",
            "telephone_number": "240-253-1965",
            "fax_number": "240-253-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILO OBIANWU DMD. ALL SMILES DENTAL CARE P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILO OBIANWU DMD. ALL SMILES DENTAL CARE P.C",
        "enumeration_date": "2009-06-12",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "OBIANWU",
        "authorized_official_first_name": "CHILO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "301-702-4080"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13826",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010761101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.