NPIMap

Organization Active NPI

Yekaterina Mamchur DDS PA

  • Dentist
  • Rockville, MD
National Provider Identifier
1336338227
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13257 Issued in MD
Legal business name
YEKATERINA MAMCHUR DDS PA
Practice address
51 Monroe Place
Suite 607
Rockville, MD 20850
Phone
(301) 762-3460
Fax
(301) 762-3461
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Yekaterina Mamchur, DDS
Title
President
Phone
(301) 762-3460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13257 MD Primary

Addresses

Primary practice location

51 Monroe Place
Suite 607
Rockville, MD 20850

Mailing address

51 Monroe Place
Suite 607
Rockville, MD 20850
Phone (301) 762-3460

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1336338227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MONROE PLACE",
            "address_2": "SUITE 607",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-762-3460",
            "fax_number": "301-762-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MONROE PLACE",
            "address_2": "SUITE 607",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-762-3460",
            "fax_number": "301-762-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEKATERINA MAMCHUR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MAMCHUR",
        "authorized_official_first_name": "YEKATERINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-762-3460",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.