NPIMap

Organization Active NPI

North Potomac Dental Studio

  • Dental Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1447769302
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14719 Issued in MD
Legal business name
NORTH POTOMAC DENTAL STUDIO
Practice address
211 Market St W
Gaithersburg, MD 20878-6428
Phone
(301) 963-6300
NPI assigned
Sep 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ernest Ponraj
Title
Dentist
Phone
(301) 963-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 14719 MD Primary

Addresses

Primary practice location

211 Market St W
Gaithersburg, MD 20878-6428

Mailing address

211 Market St W
Gaithersburg, MD 20878-6428
Phone (301) 963-6300

National Provider Directory

National Provider Directory

Locations

211 Market St W
Gaithersburg, MD 20878
Phone (301) 963-6300

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": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447769302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MARKET ST W",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786428",
            "telephone_number": "301-963-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MARKET ST W",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786428",
            "telephone_number": "301-963-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POTOMAC DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PONRAJ",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-963-6300"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "14719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.