NPIMap

Organization Active NPI

Trinity Dental Care, LLC

  • General Practice Dentistry
  • Bowie, MD
National Provider Identifier
1285082644
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11609 Issued in MD
Legal business name
TRINITY DENTAL CARE, LLC
Practice address
14300 Gallant Fox LN
Suite 111
Bowie, MD 20715-4003
Phone
(301) 262-2929
Fax
(301) 262-3939
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Dr. Angela S Wiredu, D.D.S.NPI 1730177189
Title
Dentist/Owner
Phone
(301) 262-2929

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 11609 MD Primary

Addresses

Primary practice location

14300 Gallant Fox LN
Suite 111
Bowie, MD 20715-4003

Mailing address

14300 Gallant Fox LN
Suite 111
Bowie, MD 20715-4003
Phone (301) 262-2929

Other names 1

  • Trinity Dental Care Doing business as

National Provider Directory

National Provider Directory

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": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1285082644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN",
            "address_2": "SUITE 111",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154003",
            "telephone_number": "301-262-2929",
            "fax_number": "301-262-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN",
            "address_2": "SUITE 111",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154003",
            "telephone_number": "301-262-2929",
            "fax_number": "301-262-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "WIREDU",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-262-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.