Organization Active NPI

Jerome S Casper Childrens Dental Office P.a.

Doing business as Childrens Dental Office

  • Pediatric Dentistry
  • Olney, MD
National Provider Identifier
1346413556
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6515 Issued in MD
Legal business name
JEROME S CASPER CHILDRENS DENTAL OFFICE P.A.
Doing business as
Childrens Dental Office
Practice address
2923 Olney Sandy Spring Rd Ste D
Olney, MD 20832-1583
Phone
(301) 924-5500
Fax
(301) 924-0412
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
JEROME S CASPER CHILDRENS DENTAL OFFICE P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Jerome S Casper, D.M.D.
Title
President
Phone
(301) 924-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6515 MD Primary

Addresses

Primary practice location

2923 Olney Sandy Spring Rd Ste D
Olney, MD 20832-1583

Mailing address

2923 Olney Sandy Spring Rd Ste D
Olney, MD 20832-1583
Phone (301) 924-5500

Other names 1

  • Childrens Dental Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jerome S Casper Childrens Dental Office PA3 organizations share this tax ID, including this one
Part of
Jerome S Casper Childrens Dental Office PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1346413556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 OLNEY SANDY SPRING RD STE D",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321583",
            "telephone_number": "301-924-5500",
            "fax_number": "301-924-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 OLNEY SANDY SPRING RD STE D",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321583",
            "telephone_number": "301-924-5500",
            "fax_number": "301-924-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME S CASPER CHILDRENS DENTAL OFFICE P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEROME S CASPER CHILDRENS DENTAL OFFICE P.A.",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "CASPER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-924-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "6515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.