Active NPI
Liang Fang, D.M.D.
- Dentist
- Rockville, MD
National Provider Identifier
1215385331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15978
- Practice address
- 15204 Omega Dr Ste 250
Rockville, MD 20850-4601 - Phone
- (240) 580-8818
- Fax
- (240) 580-8819
- NPI assigned
- May 31, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 15978 | MD | Primary |
Addresses
Primary practice location
15204 Omega Dr Ste 250
Rockville, MD 20850-4601
Mailing address
8516 Bells Ridge Ter
Potomac, MD 20854-2793
Phone (240) 580-8818
Other practice location 1
7499 Greenbelt Rd # 22
Greenbelt, MD 20770-3402
Phone (301) 220-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161101001521 | MD | Order and Referring Only - Dentist | 9436437159 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15978 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestadental LLC | Dentist | Current | Accepting new patients |
| Dental Dreams, LLC | Past | Accepting new patients |
Locations
15204 Omega Dr
Ste 250
Rockville, MD 20850
Phone (240) 580-8818
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 and National Provider Directory roles.
-
- Dentist
- Rockville, MD
- NPI 1023642345
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1417278235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1215385331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8516 BELLS RIDGE TER",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542793",
"telephone_number": "240-580-8818",
"fax_number": "240-580-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15204 OMEGA DR STE 250",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504601",
"telephone_number": "240-580-8818",
"fax_number": "240-580-8819"
}
],
"practiceLocations": [
{
"address_1": "7499 Greenbelt Rd # 22",
"address_purpose": "LOCATION",
"city": "Greenbelt",
"state": "MD",
"postal_code": "207703402",
"country_code": "US",
"telephone_number": "301-220-0077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANG",
"first_name": "LIANG",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-31",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15978",
"primary": true
}
],
"identifiers": [],
"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 Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.