Ivan Liang Zhang, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16858 Issued in MD

Practice address

11933 Georgia Ave
Silver Spring, MD 20902-2001

Phone

(301) 200-8015

NPI assigned

Apr 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Edwin Zaghi DMD PC

  • Pediatric Dentistry
  • Columbia, MD
  • NPI 1659548881
  NPD
• Kidz & Family Dental Center LLC

  • Pediatric Dentistry
  • Takoma Park, MD
  • NPI 1831656826
  NPD (past)
• Madison Dental LLC

  • Dentist
  • Rockville, MD
  • NPI 1467909952
  NPD (past)
• Ronald F. Gravitz, P.a.

  • Pediatric Dentistry
  • Rockville, MD
  • NPI 1922028216
  NPD (past)
• Young Esthetics

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1700241312
  NPD (past)

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

{
    "created_epoch": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1255837167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11933 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022001",
            "telephone_number": "240-833-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11933 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022001",
            "telephone_number": "301-200-8015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15020 Shady Grove Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503398",
            "country_code": "US",
            "telephone_number": "301-762-2236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10910 Little Patuxent Pkwy Ste 103R",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443081",
            "country_code": "US",
            "telephone_number": "410-992-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2062 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606477448",
            "country_code": "US",
            "telephone_number": "773-384-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "IVAN",
        "middle_name": "LIANG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-01",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032035",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frehiwot Belay Zenebe
• Zenith Care Inc
• Hilda Tatiana Zepeda Esquina
• Sara Tesfay Zewde
• Chuanbo Zhang, M.D.
• Nancy Y Zhang
• Siyu Zhang
• Yang Zhang, M.D.
• Jackson Zheng
• Vladimir Zhodzishsky

• Pediatric Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.

Verify at the official NPI Registry.