NPIMap

Organization Active NPI

Special Care Dentistry at Landover

  • General Practice Dentistry
  • Landover, MD
National Provider Identifier
1285048918
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13458 Issued in MD
Legal business name
SPECIAL CARE DENTISTRY AT LANDOVER
Practice address
8700 Central Ave
Suite 100
Landover, MD 20785-4831
Phone
(301) 735-3006
Fax
(301) 735-3062
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Mrs. Nekia A Staley-Neither, DDSNPI 1144392812
Title
Owner
Phone
(301) 735-3006

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13458 MD Primary

Addresses

Primary practice location

8700 Central Ave
Suite 100
Landover, MD 20785-4831

Mailing address

PO Box 6078
Capitol Heights, MD 20791-6078
Phone (301) 735-3006

National Provider Directory

National Provider Directory

Locations

8700 Central Ave
Ste 100
Landover, MD 20785
Phone (301) 350-8500

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": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1285048918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6078",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207916078",
            "telephone_number": "301-735-3006",
            "fax_number": "301-735-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854831",
            "telephone_number": "301-735-3006",
            "fax_number": "301-735-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE DENTISTRY AT LANDOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "STALEY-NEITHER",
        "authorized_official_first_name": "NEKIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-735-3006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.