Charles County Surgical Arts LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

CHARLES COUNTY SURGICAL ARTS LLC

Practice address

4185 Altamont PL
White Plains, MD 20695-3054

Phone

(301) 818-5598

Fax

(301) 818-5599

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

John J McElveen, DDS, MD

Title

Owner

Phone

(301) 818-5598

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Ryan Look, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • White Plains, MD
  • NPI 1942860606
  NPD

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1265194344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 ALTAMONT PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953054",
            "telephone_number": "301-818-5598",
            "fax_number": "301-818-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 ALTAMONT PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953054",
            "telephone_number": "301-818-5598",
            "fax_number": "301-818-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES COUNTY SURGICAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "MCELVEEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-818-5598",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USMLE NUMBER",
            "identifier": "41087685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles County Department of Health
• Charles County Dermatology Associates LLC
• Charles County Health Department (Charles County Department of Health)
• Charles County Health Department
• Charles County Health Department
• Charles County Surgical Associates, LLC
• Charles County Surgical Center, L.L.C.
• Rebecca Daphnee Cheraquit
• Breanna Niambi Cherry
• Chiaramonte Huisman Zorn Urology LLC

• Oral & Maxillofacial Surgery (D.M.D.) in White Plains, MD
• Providers in White Plains, MD by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.