Organization Active NPI

Felicity Dental Frederick LLC

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1487128997
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FELICITY DENTAL FREDERICK LLC
Practice address
5960 Frederick Crossing LN Ste 101
Frederick, MD 21704-5174
Phone
(301) 662-2160
Fax
(301) 662-7449
NPI assigned
Jan 17, 2019
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Dr. Jonathan Gilbart, DDSNPI 1821175324
Title
Sole Member
Phone
(240) 440-4371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5960 Frederick Crossing LN Ste 101
Frederick, MD 21704-5174

Mailing address

5960 Frederick Crossing LN
Frederick, MD 21704-5164
Phone (301) 662-2160

National Provider Directory

National Provider Directory

Locations

5960 Frederick Crossing Ln
Ste 101
Frederick, MD 21704
Phone (301) 662-2160

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": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1487128997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FREDERICK CROSSING LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045164",
            "telephone_number": "301-662-2160",
            "fax_number": "301-662-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FREDERICK CROSSING LN STE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045174",
            "telephone_number": "301-662-2160",
            "fax_number": "301-662-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICITY DENTAL FREDERICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "GILBART",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "240-440-4371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.