Kiddie Cavity Care THMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIDDIE CAVITY CARE THMD, LLC

Doing business as

Kiddie Cavity Care

Practice address

3743 Branch Ave Ste a
Temple Hills, MD 20748-1408

Phone

(240) 606-2699

NPI assigned

May 31, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ephraim L Altmon, DDSNPI 1376754424

Title

Owner

Phone

(240) 606-2699

Specialties & licenses 2

Addresses

Other names 1

• Kiddie Cavity Care Doing business as

Practitioners 1

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.

• Ephraim Lorenzo Altmon, DDS

  • Pediatric Dentistry
  • Temple Hills, MD
  • NPI 1376754424
  NPD Authorized official

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1184116618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 KITTAMA DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353179",
            "telephone_number": "240-606-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 BRANCH AVE STE A",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481408",
            "telephone_number": "240-606-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDIE CAVITY CARE THMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "ALTMON",
        "authorized_official_first_name": "EPHRAIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-606-2699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiddie Cavity Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Burton Joel Katzen, DPM
• KC Mac, LLC (KC Mac Therapeutic Services)
• Khaleena Home Health Care, LLC
• Mustafa H Khalil, NURSING SERVICES
• Kiddie Cavity Care
• Moti L Koul, M.D.
• Samuel I Kuti
• Morgen Kwando
• Adele La Franque
• Kevin Lamar

• General Practice Dentistry in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.