NPIMap

Organization Active NPI

Kilona Dental, LLC

  • General Practice Dentistry
  • Gaithersburg, MD
National Provider Identifier
1215487103
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11022 Issued in MD
Legal business name
KILONA DENTAL, LLC
Practice address
1 Bank St
Suite 110
Gaithersburg, MD 20878-1504
Phone
(301) 948-8838
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Dr. Corey Anolik, DDS
Title
Dentist/Owner
Phone
(301) 948-8838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11022 MD Primary

Addresses

Primary practice location

1 Bank St
Suite 110
Gaithersburg, MD 20878-1504

Mailing address

1 Bank St
Suite 110
Gaithersburg, MD 20878-1504
Phone (301) 948-8838

Other names 1

  • TotallySmiles Doing business as

National Provider Directory

National Provider Directory

Locations

1 Bank St
Ste 110
Gaithersburg, MD 20878
Phone (301) 948-8838

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1215487103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BANK ST",
            "address_2": "SUITE 110",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781504",
            "telephone_number": "301-948-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BANK ST",
            "address_2": "SUITE 110",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781504",
            "telephone_number": "301-948-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILONA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "ANOLIK",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-948-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TotallySmiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.