Individual provider Active NPI

Liang Fang, D.M.D.

  • Dentist
  • Rockville, MD
National Provider Identifier
1215385331
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15978 Issued in MD
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

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101001521 MD Order and Referring Only - DentistPractitioner - Dentist 9436437159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15978MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bestadental LLC Dentist CurrentSince Mar 1, 2020 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.

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

Verify at the official NPI Registry.