Organization Active NPI

Endodontic Specialists

  • Endodontics
  • Silver Spring, MD
National Provider Identifier
1417334079
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ENDODONTIC SPECIALISTS
Practice address
12520 Prosperity Dr Ste 230
Silver Spring, MD 20904-1683
Phone
(301) 593-4400
Fax
(301) 593-1587
NPI assigned
May 4, 2015
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Young S Lee, DMDNPI 1659460467
Title
President
Phone
(301) 593-4400

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
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

12520 Prosperity Dr Ste 230
Silver Spring, MD 20904-1683

Mailing address

12520 Prosperity Dr Ste 230
Silver Spring, MD 20904-1683
Phone (301) 593-4400

National Provider Directory

National Provider Directory

Locations

12520 Prosperity Dr
Ste 230
Silver Spring, MD 20904
Phone (410) 742-7004

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": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1417334079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 PROSPERITY DR STE 230",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041683",
            "telephone_number": "301-593-4400",
            "fax_number": "301-593-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 PROSPERITY DR STE 230",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041683",
            "telephone_number": "301-593-4400",
            "fax_number": "301-593-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-593-4400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.