Washington Pediatric Dental

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

15002 Issued in MD

Legal business name

WASHINGTON PEDIATRIC DENTAL

Practice address

8630 Fenton St Ste 718
Silver Spring, MD 20910-3812

Phone

(301) 388-8600

NPI assigned

Mar 17, 2018

Organization subpart

No

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

Authorized official

Name

Marian Foster-Jordan, DDSNPI 1588928485

Title

Owner

Phone

(202) 538-2933

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marian B Foster-Jordan, D.D.S

  • Pediatric Dentistry
  • Silver Spring, MD
  • NPI 1588928485
  NPD (past) Authorized official

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1174026934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 DELAFIELD PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 718",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103812",
            "telephone_number": "301-388-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PEDIATRIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FOSTER-JORDAN",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-538-2933",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "15002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061343600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Washington Medical Clinic Inc
• Washington Medical Clinic, LLC
• Washington Nephrology Associates, L.L.P.
• Washington Orthopaedic & Spine Institute
• Washington Pastoral Counseling Service
• Washington Surgery Center, LLC.
• Aisjah Washington
• Char Ray Ann Washington, RN,BSN
• Dianna E. Washington, PH.D
• Jesika Monet Washington, RBT

• Pediatric Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.