Active NPI
Soe Thinzar Mon, DDS
- Pediatric Dentistry
- Forest Hill, MD
National Provider Identifier
1306106091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 14904
- Practice address
- 2003 Rock Spring Rd
Forest Hill, MD 21050-2611 - Phone
- (410) 885-4177
- NPI assigned
- May 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039071 | PA | |
| Pediatric Dentistry | 1223P0221X | 14904 | MD | Primary |
Addresses
Primary practice location
2003 Rock Spring Rd
Forest Hill, MD 21050-2611
Mailing address
5108 Kellan Dr
Ellicott City, MD 21043-6691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039071 | PA | MD | Dentist |
| 14904 | MD | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Super Kids Teeth LLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
2288 Blue Water Blvd
Ste 328
Odenton, MD 21113
Phone (410) 995-8000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1306106091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 KELLAN DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 ROCK SPRING RD",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210502611",
"telephone_number": "410-885-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MON",
"first_name": "SOE",
"middle_name": "THINZAR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039071",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "14904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hill, MD
- Tara Miloff, RBT
- Elizabeth Marie Mitchell, M.S., CCC-SLP
- Makenzie Mitchell
- MNR Industries LLC (ExpressCare of Forest Hill)
- Nelly Molano, C.R.N.P.
- Monarch Behavioral Therapy Bii, LLC (Behavioral Innovations)
- Elizabeth Ann Montemurro, O. D.
- Bettina Moore, RNFA
- Barbara Ellen Moran, PT
- Susan C. Mordente, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.