Individual provider Active NPI

Ludmila H. Tchakarova, DDS

  • General Practice Dentistry
  • Elkridge, MD
National Provider Identifier
1356677728
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14156 Issued in MD
Practice address
6801 Douglas Legum Dr Ste C
Elkridge, MD 21075-6273
Phone
(410) 381-8283
Fax
(413) 254-5304
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 14156 MD Primary

Addresses

Primary practice location

6801 Douglas Legum Dr Ste C
Elkridge, MD 21075-6273

Mailing address

9084 Lambskin LN
Columbia, MD 21045-2939
Phone (410) 381-8283

Other identifiers 1

IdentifierTypeStateIssuer
027642100MedicaidMD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
14156MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Prime Dental, LLC General Practice CurrentSince Jul 28, 2024 Accepting new patients
Sleep Impressions, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

7060 Oakland Mills Rd
Ste J
Columbia, MD 21046
Phone (832) 415-4957

6801 Douglas Legum Dr
Ste C
Elkridge, MD 21075
Phone (410) 381-8283

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1356677728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9084 LAMBSKIN LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452939",
            "telephone_number": "410-381-8283",
            "fax_number": "413-254-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DOUGLAS LEGUM DR STE C",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756273",
            "telephone_number": "410-381-8283",
            "fax_number": "413-254-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHAKAROVA",
        "first_name": "LUDMILA",
        "middle_name": "H.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027642100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

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