NPIMap

Organization Active NPI

Dimensions Healthcare Associates, Inc.

  • Dentist
  • Suitland, MD
National Provider Identifier
1417323288
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D57645 Issued in MD
Legal business name
DIMENSIONS HEALTHCARE ASSOCIATES, INC.
Practice address
5001 Silver Hill Rd
Suite 200
Suitland, MD 20746-5209
Phone
(301) 618-2273
Fax
(301) 618-3697
NPI assigned
Aug 17, 2015
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DIMENSIONS HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Donna Y. Wallington
Title
Practice Manager
Phone
(301) 618-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D57645 MD Primary

Addresses

Primary practice location

5001 Silver Hill Rd
Suite 200
Suitland, MD 20746-5209

Mailing address

3001 Hospital Dr
Cheverly, MD 20785-1189
Phone (301) 618-3655

Other identifiers 2

IdentifierTypeStateIssuer
405690600MedicaidMD
090782102MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
PGHC OB GYN Associates56 organizations share this tax ID, including this one
Part of
Dimensions Health Corp

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5001 Silver Hill Rd
Ste 200
Suitland, MD 20746
Phone (301) 618-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1417323288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-3655",
            "fax_number": "301-618-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SILVER HILL RD",
            "address_2": "SUITE 200",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207465209",
            "telephone_number": "301-618-2273",
            "fax_number": "301-618-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMENSIONS HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIMENSIONS HEALTH CORPORATION",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "WALLINGTON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "301-618-3655"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "D57645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405690600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090782102",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.