NPIMap

Organization Active NPI

Pediatric Dentistry at North Bethesda

  • Pediatric Dentistry
  • Rockville, MD
National Provider Identifier
1285250498
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC DENTISTRY AT NORTH BETHESDA
Practice address
6001 Montrose Rd Ste 100
Rockville, MD 20852-4872
Phone
(240) 669-8647
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Dr. Yuka Tanabe Yaagishi, DDS, MS
Title
Owner
Phone
(240) 669-8647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

6001 Montrose Rd Ste 100
Rockville, MD 20852-4872

Mailing address

6001 Montrose Rd Ste 100
Rockville, MD 20852-4872
Phone (240) 669-8647

National Provider Directory

National Provider Directory

Locations

6001 Montrose Rd
Ste 100
Rockville, MD 20852
Phone (240) 669-8647

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": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1285250498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 MONTROSE RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524872",
            "telephone_number": "240-669-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 MONTROSE RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524872",
            "telephone_number": "240-669-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY AT NORTH BETHESDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "TANABE YAAGISHI",
        "authorized_official_first_name": "YUKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-669-8647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.