Individual provider Active NPI

Elenir Goncalves Oliveira Bernardes, DDS

  • Prosthodontics
  • Rockville, MD
National Provider Identifier
1396877866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
11958 Issued in MD
Practice address
11404 Old Georgetown Rd
Suite 201
Rockville, MD 20852-2865
Phone
(301) 881-5020
Fax
(301) 881-5030
NPI assigned
Mar 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 11958 MD Primary

Addresses

Primary practice location

11404 Old Georgetown Rd
Suite 201
Rockville, MD 20852-2865

Mailing address

11404 Old Georgetown Rd
Suite 201
Rockville, MD 20852-2865
Phone (301) 881-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105002366 MD Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7214239433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11958MDMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Zarger Dental Group, P.C. PastSince Apr 9, 2024 Accepting new patients
Potomacdentalcenter Prosthodontics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396877866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 OLD GEORGETOWN RD",
            "address_2": "SUITE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522865",
            "telephone_number": "301-881-5020",
            "fax_number": "301-881-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 OLD GEORGETOWN RD",
            "address_2": "SUITE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522865",
            "telephone_number": "301-881-5020",
            "fax_number": "301-881-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDES",
        "first_name": "ELENIR",
        "middle_name": "GONCALVES OLIVEIRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "11958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.