NPIMap

Organization Active NPI

Zdentist LLC

  • General Practice Dentistry
  • Bowie, MD
National Provider Identifier
1396103875
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15795 Issued in MD
Legal business name
ZDENTIST LLC
Practice address
1522 Pointer Ridge PL
Suite K
Bowie, MD 20716-1875
Phone
(508) 904-5287
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Dr. Dmitry Nurminsky, DDS PHDNPI 1023454667
Title
Owner
Phone
(508) 904-5287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15795 MD Primary

Addresses

Primary practice location

1522 Pointer Ridge PL
Suite K
Bowie, MD 20716-1875

Mailing address

1612 Charmuth Rd
Lutherville, MD 21093-5757
Phone (508) 904-5287

National Provider Directory

National Provider Directory

Locations

1522 Pointer Ridge Pl
Ste K
Bowie, MD 20716
Phone (301) 249-9098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1396103875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 CHARMUTH RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935757",
            "telephone_number": "508-904-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 POINTER RIDGE PL",
            "address_2": "SUITE K",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161875",
            "telephone_number": "508-904-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZDENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "NURMINSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-904-5287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.