NPIMap

Organization Active NPI

Maryland Family Dentistry Associates

  • Dentist
  • Temple Hills, MD
National Provider Identifier
1467862771
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12709 Issued in MD
Legal business name
MARYLAND FAMILY DENTISTRY ASSOCIATES
Practice address
4400 Stamp Rd
201
Temple Hills, MD 20748-6716
Phone
(301) 899-6366
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Dr. Nanette R Larose, DDS
Title
Owner
Phone
(301) 899-6366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12709 MD Primary

Addresses

Primary practice location

4400 Stamp Rd
201
Temple Hills, MD 20748-6716

Mailing address

4400 Stamp Rd
201
Temple Hills, MD 20748-6716
Phone (301) 899-6366

National Provider Directory

National Provider Directory

Locations

4400 Stamp Rd
Ste 201
Temple Hills, MD 20748
Phone (301) 899-6366

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1467862771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 STAMP RD",
            "address_2": "201",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486716",
            "telephone_number": "301-899-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 STAMP RD",
            "address_2": "201",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486716",
            "telephone_number": "301-899-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND FAMILY DENTISTRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "LAROSE",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-899-6366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.