Individual provider Active NPI

Dileep Thomas

  • Dentist
  • Fort Washington, MD
National Provider Identifier
1144070947
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19009 Issued in MD
Practice address
9500 Livingston Rd Ste 105
Fort Washington, MD 20744-4973
Phone
(301) 857-5736
NPI assigned
Mar 25, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19009 MD Primary
Dentist 122300000X 0401419504 VA

Addresses

Primary practice location

9500 Livingston Rd Ste 105
Fort Washington, MD 20744-4973

Mailing address

13084 Autumn Willow Dr
Fairfax, VA 22030-8202
Phone (571) 591-9828

Other practice location 1

1223 Brentwood Rd NE
Washington, DC 20018-1019
Phone (202) 627-2720

Other practice location 2

475 Green Rock Ln
Chatham, VA 24531-5410
Phone (434) 797-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19009MDMDDentist
0401419504VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
MD Dental Center PC Past Accepting new patients
MD Dental Center PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1144070947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13084 AUTUMN WILLOW DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308202",
            "telephone_number": "571-591-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 LIVINGSTON RD STE 105",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444973",
            "telephone_number": "301-857-5736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Brentwood Rd NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200181019",
            "country_code": "US",
            "telephone_number": "202-627-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Green Rock Ln",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "VA",
            "postal_code": "245315410",
            "country_code": "US",
            "telephone_number": "434-797-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DILEEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "19009",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419504",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 22, 2026; 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.