Organization Active NPI

Ha Doan Thi Ung, DDS, PC

  • Dental Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1255621702
Registry record updated Apr 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13213 Issued in MD
Legal business name
HA DOAN THI UNG, DDS, PC
Practice address
28B S Frederick Ave
#101
Gaithersburg, MD 20877-2302
Phone
(301) 330-6234
NPI assigned
Apr 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2011

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

Authorized official

Name
Dr. Ha Doan Thi Ung, DDSNPI 1871583401
Title
Dentist/Owner
Phone
(301) 330-6234

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 13213 MD Primary

Addresses

Primary practice location

28B S Frederick Ave
#101
Gaithersburg, MD 20877-2302

Mailing address

28B S Frederick Ave
#101
Gaithersburg, MD 20877-2302

Other identifiers 1

IdentifierTypeStateIssuer
9177238MedicaidMD

National Provider Directory

National Provider Directory

Locations

28 S Frederick Ave
Ste 101
Gaithersburg, MD 20877
Phone (240) 472-8029

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302998400000",
    "number": "1255621702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28B S FREDERICK AVE",
            "address_2": "#101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28B S FREDERICK AVE",
            "address_2": "#101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772302",
            "telephone_number": "301-330-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HA DOAN THI UNG, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-17",
        "last_updated": "2011-04-17",
        "status": "A",
        "authorized_official_last_name": "UNG",
        "authorized_official_first_name": "HA",
        "authorized_official_middle_name": "DOAN THI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-330-6234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "13213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177238",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 17, 2011; 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.