Active NPI
Robert K Mensah, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Largo, MD
National Provider Identifier
1346427820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 16017
- Practice address
- 1401 Mercantile LN Ste 102
Largo, MD 20774 - Phone
- (301) 773-7703
- Fax
- (301) 773-7708
- NPI assigned
- Jan 27, 2008
- Last updated
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 16017 | MD | Primary |
Addresses
Primary practice location
1401 Mercantile LN Ste 102
Largo, MD 20774
Mailing address
1401 Mercantile LN Ste 102
Largo, MD 20774-4306
Phone (301) 773-7703
Other practice location 1
2417 McGuire Blvd
87 DS
Mc Guire AFB, NJ 08641-5116
Phone (609) 754-3786
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091770900 | Medicaid | DC | |
| 097190100 | Medicaid | MD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RKM Orthodontics LLC | Current | Accepting new patients |
Locations
1401 Mercantile Ln
Ste 102
Upper Marlboro, MD 20774
Phone (301) 341-0041
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1346427820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 MERCANTILE LN STE 102",
"city": "LARGO",
"state": "MD",
"postal_code": "207744306",
"telephone_number": "301-773-7703",
"fax_number": "301-773-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MERCANTILE LN STE 102",
"city": "LARGO",
"state": "MD",
"postal_code": "20774",
"telephone_number": "301-773-7703",
"fax_number": "301-773-7708"
}
],
"practiceLocations": [
{
"address_1": "2417 McGuire Blvd",
"address_2": "87 DS",
"address_purpose": "LOCATION",
"city": "Mc Guire AFB",
"state": "NJ",
"postal_code": "086415116",
"country_code": "US",
"telephone_number": "609-754-3786",
"fax_number": "609-754-3696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENSAH",
"first_name": "ROBERT",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-27",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "16017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "091770900",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097190100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.