Aakash Chamu Mudaliar, BDS, MHA, DMD, FICOI

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16900 Issued in MD

Practice address

605 Post Office Rd Ste 203
Waldorf, MD 20602-1913

Phone

(301) 843-3444

NPI assigned

Jul 17, 2017

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lakeview Dental PC

  • Dental Clinic/Center
  • Waldorf, MD
  • NPI 1568065225
  NPD Authorized official
• Collingdale Dental Associates

  • General Practice Dentistry
  • Collingdale, PA
  • NPI 1124521646
  NPD Authorized official
• Advanced Family Dental Care PC

  • Dental Clinic/Center
  • Elkins Park, PA
  • NPI 1720216732
  NPD
• Geneva Dental Care

  • Dental Clinic/Center
  • Glenside, PA
  • NPI 1184060501
  NPD (past)
• Hiral Patel DDS PC

  • Dental Clinic/Center
  • East Norriton, PA
  • NPI 1164173118
  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1366964884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 POST OFFICE RD STE 203",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021913",
            "telephone_number": "301-843-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 POST OFFICE RD STE 203",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021913",
            "telephone_number": "301-843-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDALIAR",
        "first_name": "AAKASH",
        "middle_name": "CHAMU",
        "credential": "BDS, MHA, DMD, FICOI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041461",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN2000140",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH",
            "identifier": "16900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE DISTRICT OF COLUMBIA BOARD OF DENTISTRY",
            "identifier": "DEN2000140",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DS041461",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lakeviewdent.com",
            "affiliation": "N",
            "address_1": "605 Post Office Rd Ste 203",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206021913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Chinedu Mpi
• Kevin Mrohs, RPH
• Ms-HC, LLC (Waldorf-MED LLC)
• Ms. & Mr. Little Ones, Inc.
• MSB Counseling Services, Inc (Monique Brown)
• Tashunda R Muhammad
• Saili Mulgaonkar
• Joy N Mungo, LCSW-C
• Joseph Raymond Murphy, M.D.
• Carmen Latrice Murray, APRN

• General Practice Dentistry in Waldorf, MD
• Providers in Waldorf, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.