NPIMap

Organization Active NPI

Academy Dental Care LLC

  • General Practice Dentistry
  • Charlotte Hall, MD
National Provider Identifier
1164075917
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ACADEMY DENTAL CARE LLC
Practice address
37601 Golden Beach Rd.
Charlotte Hall, MD 20622
Phone
(301) 884-2299
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Dr. Thomas Ryan O'Shea, DDSNPI 1225478290
Title
Owner of Practice
Phone
(301) 884-2299

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

37601 Golden Beach Rd.
Charlotte Hall, MD 20622

Mailing address

PO Box 828 Academy Dental Care LLC
Mechanicsville, MD 20659

National Provider Directory

National Provider Directory

Locations

37601 Golden Beach Rd
Charlotte Hall, MD 20622
Phone (301) 884-2299

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": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1164075917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828 ACADEMY DENTAL CARE LLC",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "20659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37601 GOLDEN BEACH RD.",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "20622",
            "telephone_number": "301-884-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "O'SHEA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "301-884-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Hall, MD

Sources for this page

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

Verify at the official NPI Registry.