Individual provider Active NPI

Agnes F Bolus-Alignay, DDS

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1316156771
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11881 Issued in MD
Practice address
804 Pershing Dr Ste 3
Silver Spring, MD 20910-4436
Phone
(301) 608-9363
Fax
(301) 608-9390
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11881 MD Primary

Addresses

Primary practice location

804 Pershing Dr Ste 3
Silver Spring, MD 20910-4436

Mailing address

804 Pershing Dr Suite003
Silver Spring, MD 20910-4012
Phone (301) 608-9363

Other identifiers 1

IdentifierTypeStateIssuer
1811091150OtherMDNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013000396 MD Order and Referring Only - DentistPractitioner - Dentist 2567750284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11881MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Agnes Bolus-Alignay DDS PA CurrentSince Oct 27, 2024 Accepting new patients

Locations

804 Pershing Dr
Ste 3
Silver Spring, MD 20910
Phone (301) 608-9363

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1316156771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 PERSHING DR SUITE003",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104012",
            "telephone_number": "301-608-9363",
            "fax_number": "301-608-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 PERSHING DR STE 3",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104436",
            "telephone_number": "301-608-9363",
            "fax_number": "301-608-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLUS-ALIGNAY",
        "first_name": "AGNES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811091150",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.