NPIMap

Organization Active NPI

Kentlands Dental and Orhodontic Group Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gaithersburg, MD
National Provider Identifier
1306027784
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10178 Issued in MD
Legal business name
KENTLANDS DENTAL AND ORHODONTIC GROUP INC
Practice address
308 Main St
Gaithersburg, MD 20878-5518
Phone
(301) 977-9787
Fax
(301) 977-0680
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Dr. Akram Hassan Shouhayib, DDS-MSNPI 1134299647
Title
Owner
Phone
(301) 977-9787

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 10178 MD
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 10178 MD
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 10178 MD Primary

Addresses

Primary practice location

308 Main St
Gaithersburg, MD 20878-5518

Mailing address

308 Main St
Gaithersburg, MD 20878-5518
Phone (301) 977-9787

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1306027784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785518",
            "telephone_number": "301-977-9787",
            "fax_number": "301-977-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785518",
            "telephone_number": "301-977-9787",
            "fax_number": "301-977-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTLANDS DENTAL AND ORHODONTIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "SHOUHAYIB",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-977-9787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS-MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "10178",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10178",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "10178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.