Active NPI
Keon B. Manesh, DDS, MS
- Dentist
- Chevy Chase, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18655
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18655 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Manesh DDS VI PC | Dentist | Past | Accepting new patients |
| Ben Manesh DDS VII LLC | Multi-Specialty | Past | 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.
-
dba Supertooth at Germantown
- General Practice Dentistry
- Germantown, MD
- NPI 1700408101
Multi-Specialty
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
- Melissa Christine Majumdar, RD, LDN, CPT
- Nora Malaisrie, MD
- Kanika Malhotra
- Margaret Leslie Mallory-Powell, PH.D.
- Danielle Mandir
- Manor Care of Chevy Chase MD, LLC (ProMedica Skilled Nursing and Rehabilitation (Chevy Chase))
- Alix L Mansbach, PSY.D.
- Esteban Guillermo Mantilla Rodriguez, PHYSICIAN ASSISTANT
- Anand Mantravadi, M.D.
- Robert L. Mapou, PH.D.
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.