Individual provider Active NPI

Orlyne Megouang Fah, DDS

  • General Practice Dentistry
  • Cambridge, MD
National Provider Identifier
1356135313
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18614 Issued in MD
Practice address
503 Muir St
Cambridge, MD 21613-1871
Phone
(240) 595-8671
NPI assigned
Apr 7, 2025
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18614 MD Primary

Addresses

Primary practice location

503 Muir St
Cambridge, MD 21613-1871

Mailing address

21220 Seneca Crossing Dr
Germantown, MD 20876-4312
Phone (240) 595-8671

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

State licenses

LicenseStateTypeSpecialty
18614MDMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: orlyne.fah.1@20853.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1356135313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21220 SENECA CROSSING DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764312",
            "telephone_number": "240-595-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MUIR ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131871",
            "telephone_number": "240-595-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGOUANG FAH",
        "first_name": "ORLYNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.