Active NPI
Kristen Camille Millender, DDS
- Dentist
- Gwynn Oak, MD
National Provider Identifier
1144877572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16979
- Practice address
- 3320 Saint Lukes LN
Gwynn Oak, MD 21207-5836 - Phone
- (305) 713-7796
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16979 | MD | Primary |
Addresses
Primary practice location
3320 Saint Lukes LN
Gwynn Oak, MD 21207-5836
Mailing address
7903 Orion Cir Unit 379
Laurel, MD 20724-3113
Phone (305) 713-7796
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16979 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Dentistry, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Silver Spring, MD
- NPI 1245844851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1144877572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7903 ORION CIR UNIT 379",
"city": "LAUREL",
"state": "MD",
"postal_code": "207243113",
"telephone_number": "305-713-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 SAINT LUKES LN",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212075836",
"telephone_number": "305-713-7796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLENDER",
"first_name": "KRISTEN",
"middle_name": "CAMILLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gwynn Oak, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.