Channelle Bangura, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

7740 Issued in MD

Practice address

8472 Simmond St
Fort George G Meade, MD 20755-5700

Phone

(410) 279-4113

NPI assigned

Jun 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1386093946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 CORTANA CT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441185",
            "telephone_number": "410-279-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8472 SIMMOND ST",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207555700",
            "telephone_number": "410-279-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "CHANNELLE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-05",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "17321",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "7740",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KY",
            "license": "4121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klever Noemi Alameda Castaneda
• William Atkins, PHARMACIST
• Patricia Rabello Freire Ayres
• Cristina Rumbaoa Bagaymetcalf, CRNP-FAMILY
• Dion P Baker
• Erika V. Barger, MD
• Quinton S Barnes
• Cynthia Barrack
• Valerie Beasley
• Carla Benjamin

• Dental Hygienist in Fort George G Meade, MD
• Providers in Fort George G Meade, MD by specialty
• Dental Hygienist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.