Diego Emilio Maldonado, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16604 Issued in MD

Practice address

7810 Wormans Mill Rd Ste D
Frederick, MD 21701-3038

Phone

(301) 378-2595

NPI assigned

May 29, 2018

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Ccdental, LLC

  dba Key City Dental Care

  • Dental Clinic/Center
  • Frederick, MD
  • NPI 1518789254
  NPD
• David L. Rever, D.D.S., LLC

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1740830264
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1376034074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 WORMANS MILL RD STE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013038",
            "telephone_number": "301-378-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 WORMANS MILL RD STE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013038",
            "telephone_number": "301-378-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "DIEGO",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aileen Maknati
• Abdul Khadri Mako, BSC ECONS
• Modester Makukuls
• Mala Mantis Counseling, LLC
• Jasmine Malcolm, MD
• Auryana J Malek
• Anwar K. Malik, M.B.,B.S.
• Jawad Malik, M.D.
• Muneeb S Malik, MD
• Jessie E. Mallalieu, P.A.-C.

• General Practice Dentistry in Frederick, MD
• Providers in Frederick, 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 Feb 5, 2025; 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.