Active NPI
Kevin Francis Healy, D.D.S.
- General Practice Dentistry
- Germantown, MD
National Provider Identifier
1306843701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11337
- Practice address
- 20 Executive Park CT
Germantown, MD 20874-2645 - Phone
- (301) 972-2002
- Fax
- (301) 972-0952
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11337 | MD | Primary |
Addresses
Primary practice location
20 Executive Park CT
Germantown, MD 20874-2645
Mailing address
8710 Postoak Rd
Potomac, MD 20854-3551
Phone (301) 529-0658
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 |
|---|---|---|---|
| 11337 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1306843701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8710 POSTOAK RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543551",
"telephone_number": "301-529-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 EXECUTIVE PARK CT",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742645",
"telephone_number": "301-972-2002",
"fax_number": "301-972-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "KEVIN",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "11337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.