Organization Active NPI

Toothsome Dental - Brandywine LLC

  • Dental Clinic/Center
  • Brandywine, MD
National Provider Identifier
1134722853
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOOTHSOME DENTAL - BRANDYWINE LLC
Practice address
15908 Crain Hwy Unit D
Brandywine, MD 20613-8032
Phone
(301) 782-9061
Fax
(301) 782-9063
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Shannon Chapman, DDSNPI 1235540345
Title
Owner/Dentist
Phone
(443) 756-8484

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

15908 Crain Hwy Unit D
Brandywine, MD 20613-8032

Mailing address

15908 Crain Hwy Unit D
Brandywine, MD 20613-8032
Phone (301) 782-9061

Other names 1

  • Brandywine Cosmetic and Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1134722853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15908 CRAIN HWY UNIT D",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206138032",
            "telephone_number": "301-782-9061",
            "fax_number": "301-782-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15908 CRAIN HWY UNIT D",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206138032",
            "telephone_number": "301-782-9061",
            "fax_number": "301-782-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHSOME DENTAL - BRANDYWINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "443-756-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Cosmetic and Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandywine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.