NPIMap

Organization Active NPI

Harold S Kogod DDS PC

  • Dentist
  • Potomac, MD
National Provider Identifier
1174688196
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9656 Issued in MD
Legal business name
HAROLD S KOGOD DDS PC
Practice address
10540 Democracy Blvd
Potomac, MD 20854
Phone
(301) 953-2515
Fax
(301) 983-0153
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harold Stephen Kogod, DDS
Title
Orthodontist President
Phone
(301) 983-2515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9656 MD Primary

Addresses

Primary practice location

10540 Democracy Blvd
Potomac, MD 20854

Mailing address

10540 Democracy Blvd
Potomac, MD 20854
Phone (301) 953-2515

National Provider Directory

National Provider Directory

Locations

10540 Democracy Blvd
Potomac, MD 20854
Phone (301) 299-0200

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174688196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 DEMOCRACY BLVD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-953-2515",
            "fax_number": "301-983-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 DEMOCRACY BLVD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-953-2515",
            "fax_number": "301-983-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD S KOGOD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOGOD",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "ORTHODONTIST PRESIDENT",
        "authorized_official_telephone_number": "301-983-2515",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "9656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.