NPIMap

Organization Active NPI

Servicios Dentales Hispanos, Inc.

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1467699660
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10857 Issued in MD
Legal business name
SERVICIOS DENTALES HISPANOS, INC.
Practice address
8121 Georgia Ave Ste 400
Silver Spring, MD 20910-4958
Phone
(301) 588-2516
NPI assigned
Jan 10, 2009
Last updated
Nov 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Mr. Guillermo Quintanilla
Title
Office Manager
Phone
(301) 588-2516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10857 MD Primary

Addresses

Primary practice location

8121 Georgia Ave Ste 400
Silver Spring, MD 20910-4958

Mailing address

8121 Georgia Ave Ste 400
Silver Spring, MD 20910-4958
Phone (301) 588-2516

Other identifiers 1

IdentifierTypeStateIssuer
776024860MedicaidMD

National Provider Directory

National Provider Directory

Locations

8121 Georgia Ave
Ste 400
Silver Spring, MD 20910
Phone (301) 588-2516

Practitioners & affiliated clinicians

Practitioners 2

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": "1231545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1467699660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 GEORGIA AVE STE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104958",
            "telephone_number": "301-588-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 GEORGIA AVE STE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104958",
            "telephone_number": "301-588-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DENTALES HISPANOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-10",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-588-2516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "10857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "776024860",
            "state": "MD"
        }
    ],
    "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 Nov 25, 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.