NPIMap

Organization Active NPI

Epes Dental Clinic

  • General Practice Dentistry
  • Fort Meade, MD
National Provider Identifier
1437186343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7078 Issued in MD
Legal business name
EPES DENTAL CLINIC
Practice address
8476 Simonds Street
Fort Meade, MD 20755-5700
Phone
(301) 677-6078
Fax
(301) 677-6678
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald Rowan, DDS
Title
General Dentist
Phone
(301) 677-6078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7078 MD Primary

Addresses

Primary practice location

8476 Simonds Street
Fort Meade, MD 20755-5700

Mailing address

8476 Simonds Street
Fort Meade, MD 20755-5700
Phone (301) 677-6078

National Provider Directory

National Provider Directory

Locations

8476 Simmond St
Fort Meade, MD 20755
Phone (301) 677-6078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437186343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8476 SIMONDS STREET",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207555700",
            "telephone_number": "301-677-6078",
            "fax_number": "301-677-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8476 SIMONDS STREET",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207555700",
            "telephone_number": "301-677-6078",
            "fax_number": "301-677-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPES DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "301-677-6078",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meade, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.