Organization Active NPI

Gaithersburg Complete Dental Care

  • Dental Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1124849278
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GAITHERSBURG COMPLETE DENTAL CARE
Practice address
16220 Frederick Rd Ste 400
Gaithersburg, MD 20877-4025
Phone
(301) 448-0236
NPI assigned
Oct 22, 2024
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Dr. Nika NikookarNPI 1932742137
Title
Part Owner
Phone
(301) 448-0236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

16220 Frederick Rd Ste 400
Gaithersburg, MD 20877-4025

Mailing address

8 Russell Ave Ste 104
Gaithersburg, MD 20877-2962

National Provider Directory

National Provider Directory

Locations

16220 Frederick Rd
Ste 400
Gaithersburg, MD 20877
Phone (301) 448-0236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1124849278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RUSSELL AVE STE 104",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD STE 400",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774025",
            "telephone_number": "301-448-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAITHERSBURG COMPLETE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "NIKOOKAR",
        "authorized_official_first_name": "NIKA",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "301-448-0236",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

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