NPIMap

Organization Active NPI

Dental Professionals of Maryland, Charles Foer, PC

  • General Practice Dentistry
  • Fort Washington, MD
National Provider Identifier
1265093355
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF MARYLAND, CHARLES FOER, PC
Practice address
9500 Livingston Rd Ste 105
Fort Washington, MD 20744-4973
Phone
(301) 203-3944
NPI assigned
Jun 28, 2019
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF MARYLAND, CHARLES FOER, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Hannah Fish
Title
Credentialing Manager
Phone
(217) 540-5699

Specialties & licenses 1

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

Addresses

Primary practice location

9500 Livingston Rd Ste 105
Fort Washington, MD 20744-4973

Mailing address

9500 Livingston Rd Ste 105
Fort Washington, MD 20744-4973

Other names 1

  • Tender Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Maryland Charles Foer PC2 organizations share this tax ID, including this one
Part of
Dental Professionals of Maryland Charles Foer PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9500 Livingston Rd
Ste 105
Fort Washington, MD 20744
Phone (301) 203-3944

Practitioners & affiliated clinicians

Practitioners 2

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": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1265093355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 LIVINGSTON RD STE 105",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 LIVINGSTON RD STE 105",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444973",
            "telephone_number": "301-203-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF MARYLAND, CHARLES FOER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF MARYLAND, CHARLES FOER, P.C.",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tender Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.