Individual provider Active NPI

Keon B. Manesh, DDS, MS

  • Dentist
  • Chevy Chase, MD
National Provider Identifier
1205625183
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18655 Issued in MD
Practice address
6831 Wisconsin Ave Ste 302
Chevy Chase, MD 20815-6122
Phone
(301) 986-8777
Fax
(301) 986-8873
NPI assigned
May 6, 2025
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18655 MD Primary

Addresses

Primary practice location

6831 Wisconsin Ave Ste 302
Chevy Chase, MD 20815-6122

Mailing address

6831 Wisconsin Ave Ste 302
Chevy Chase, MD 20815-6122
Phone (301) 986-8777

Other practice location 1

237 Kentlands Blvd
Gaithersburg, MD 20878-5446
Phone (301) 987-5200

Other practice location 2

20528 Boland Farm Rd Ste 212
Germantown, MD 20876-4038
Phone (301) 972-4400

Other practice location 3

19851 Observation Dr Ste 355
Germantown, MD 20876-4158
Phone (301) 799-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18655MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Manesh DDS VI PC Dentist Past Accepting new patients
Ben Manesh DDS VII LLC Multi-Specialty PastSince May 10, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1205625183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 WISCONSIN AVE STE 302",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156122",
            "telephone_number": "301-986-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 WISCONSIN AVE STE 302",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156122",
            "telephone_number": "301-986-8777",
            "fax_number": "301-986-8873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Kentlands Blvd",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208785446",
            "country_code": "US",
            "telephone_number": "301-987-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20528 Boland Farm Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764038",
            "country_code": "US",
            "telephone_number": "301-972-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19851 Observation Dr Ste 355",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764158",
            "country_code": "US",
            "telephone_number": "301-799-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANESH",
        "first_name": "KEON",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.