Organization Active NPI

Sure Dental Care LLC

  • Dentist
  • Rockville, MD
National Provider Identifier
1184345563
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SURE DENTAL CARE LLC
Practice address
615 W Montgomery Ave
Rockville, MD 20850-3815
Phone
(301) 304-3380
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dr. Chandrika N Bhut, DDSNPI 1528253606
Title
Dentist
Phone
(301) 304-3380

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: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

615 W Montgomery Ave
Rockville, MD 20850-3815

Mailing address

615 W Montgomery Ave
Rockville, MD 20850-3815
Phone (301) 304-3380

Other identifiers 1

IdentifierTypeStateIssuer
402284000MedicaidMD

National Provider Directory

National Provider Directory

Locations

615 W Montgomery Ave
Rockville, MD 20850
Phone (301) 309-1240

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1184345563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MONTGOMERY AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503815",
            "telephone_number": "301-304-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MONTGOMERY AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503815",
            "telephone_number": "301-304-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "BHUT",
        "authorized_official_first_name": "CHANDRIKA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-304-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402284000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.