NPIMap

Organization Active NPI

Tajicks Dental Clinic

  • General Practice Dentistry
  • Hyattsville, MD
National Provider Identifier
1396138269
Registry record updated Jul 21, 2022
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TAJICKS DENTAL CLINIC
Practice address
1425 University Blvd E
253
Hyattsville, MD 20783-4618
Phone
(301) 434-3300
NPI assigned
Mar 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Paula Camila Cortez I
Title
Office Manager
Phone
(301) 434-3300

Specialties & licenses 1

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

Addresses

Primary practice location

1425 University Blvd E
253
Hyattsville, MD 20783-4618

Mailing address

1425 University Blvd E
253
Hyattsville, MD 20783-4618
Phone (301) 434-3300

National Provider Directory

National Provider Directory

Locations

1425 University Blvd E
Ste 253
Hyattsville, MD 20783
Phone (301) 434-3300

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396138269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 UNIVERSITY BLVD E",
            "address_2": "253",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834618",
            "telephone_number": "301-434-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 UNIVERSITY BLVD E",
            "address_2": "253",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834618",
            "telephone_number": "301-434-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJICKS DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "CAMILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-434-3300",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.