Organization Active NPI

Kids Dental Clinic

  • Dentist
  • Germantown, MD
National Provider Identifier
1154281541
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KIDS DENTAL CLINIC
Practice address
20400 Observation Dr Ste 208
Germantown, MD 20876-4087
Phone
(301) 528-8685
Fax
(301) 528-8685
NPI assigned
Nov 17, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Deepali Bhanot, DMDNPI 1225031214
Title
Owner
Phone
(301) 528-8685

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

20400 Observation Dr Ste 208
Germantown, MD 20876-4087

Mailing address

20400 Observation Dr Ste 208
Germantown, MD 20876-4087
Phone (301) 528-8685

National Provider Directory

National Provider Directory

Locations

20400 Observation Dr
Ste 208
Germantown, MD 20876
Phone (301) 528-8685

Practitioners & affiliated clinicians

Practitioners 5

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": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1154281541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 OBSERVATION DR STE 208",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764087",
            "telephone_number": "301-528-8685",
            "fax_number": "301-528-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 OBSERVATION DR STE 208",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764087",
            "telephone_number": "301-528-8685",
            "fax_number": "301-528-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "BHANOT",
        "authorized_official_first_name": "DEEPALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-528-8685",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.