NPIMap

Organization Active NPI

Ack Family Dentistry

  • Dental Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1255147237
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ACK FAMILY DENTISTRY
Practice address
11120 New Hampshire Ave Ste 311
Silver Spring, MD 20904-2600
Phone
(301) 770-0123
NPI assigned
Dec 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Kassahun Hailu, DDSNPI 1871777391
Title
Dentist
Phone
(301) 770-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11120 New Hampshire Ave Ste 311
Silver Spring, MD 20904-2600

Mailing address

11120 New Hampshire Ave Ste 311
Silver Spring, MD 20904-2600
Phone (301) 770-0123

Other names 1

  • ACK Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11120 New Hampshire Ave
Ste 311
Silver Spring, MD 20904
Phone (301) 770-0123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1255147237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 311",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042600",
            "telephone_number": "301-770-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 311",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042600",
            "telephone_number": "301-770-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HAILU",
        "authorized_official_first_name": "KASSAHUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-770-0123",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACK Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.