NPIMap

Organization Active NPI

Gambrills Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gambrills, MD
National Provider Identifier
1427375591
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13390 Issued in MD
Legal business name
GAMBRILLS ORTHODONTICS
Practice address
331 Gambrills Rd Ste 7
Gambrills, MD 21054-1141
Phone
(410) 923-4700
Fax
(410) 923-7600
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Dr. Hicham Mekouar, DDS
Title
President
Phone
(703) 347-1282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 13390 MD Primary

Addresses

Primary practice location

331 Gambrills Rd Ste 7
Gambrills, MD 21054-1141

Mailing address

331 Gambrills Rd Ste 7
Gambrills, MD 21054-1141
Phone (410) 923-4700

National Provider Directory

National Provider Directory

Locations

331 Gambrills Rd
Ste 7
Gambrills, MD 21054
Phone (410) 923-4700

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1427375591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 GAMBRILLS RD STE 7",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541141",
            "telephone_number": "410-923-4700",
            "fax_number": "410-923-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 GAMBRILLS RD STE 7",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541141",
            "telephone_number": "410-923-4700",
            "fax_number": "410-923-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBRILLS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "MEKOUAR",
        "authorized_official_first_name": "HICHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-347-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "13390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

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