Individual provider Active NPI

Andrew Donald, DDS

  • Dentist
  • College Park, MD
National Provider Identifier
1356817803
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16722 Issued in MD
Practice address
6100 Westchester Park Dr
College Park, MD 20740-2852
Phone
(301) 474-8277
NPI assigned
Oct 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16722 MD Primary

Addresses

Primary practice location

6100 Westchester Park Dr
College Park, MD 20740-2852

Mailing address

6100 Westchester Park Dr
College Park, MD 20740-2852

Other practice location 1

8901 Shady Grove Ct
Gaithersburg, MD 20877-1308
Phone (301) 637-2971

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
16722MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
College Park Dentistry LLC CurrentSince Jun 30, 2024 Accepting new patients
Maryland Dental Associates LLC Dentist PastSince Mar 13, 2022 Accepting new patients
Dr Steven Rattner DDS, PA Dentist Past Accepting new patients

Locations

6100 Westchester Park Dr
Ste C4
College Park, MD 20740
Phone (301) 474-8277

Organizations & group practices 3

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": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1356817803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WESTCHESTER PARK DR",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WESTCHESTER PARK DR",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402852",
            "telephone_number": "301-474-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Shady Grove Ct",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208771308",
            "country_code": "US",
            "telephone_number": "301-637-2971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALD",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.