NPIMap

Organization Active NPI

Kerolos Michael DDS LLC

  • Dental Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1316718042
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KEROLOS MICHAEL DDS LLC
Practice address
12520 Prosperity Dr Ste 340
Silver Spring, MD 20904-1606
Phone
(301) 388-2420
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Dr. Kerolos Michael, DDSNPI 1407246168
Title
Owner
Phone
(440) 521-1215

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12520 Prosperity Dr Ste 340
Silver Spring, MD 20904-1606

Mailing address

12520 Prosperity Dr Ste 340
Silver Spring, MD 20904-1606
Phone (301) 388-2420

Other names 1

  • Michael Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

12520 Prosperity Dr
Ste 340
Silver Spring, MD 20904
Phone (301) 388-2420

Practitioners & affiliated clinicians

Practitioners 1

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": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1316718042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 PROSPERITY DR STE 340",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041606",
            "telephone_number": "301-388-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 PROSPERITY DR STE 340",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041606",
            "telephone_number": "301-388-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEROLOS MICHAEL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "KEROLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-521-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.