NPIMap

Organization Active NPI

Germantown Dental Group

  • General Practice Dentistry
  • Germantown, MD
National Provider Identifier
1487989133
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GERMANTOWN DENTAL GROUP
Practice address
18014 Mateny Rd
Germantown, MD 20874-2112
Phone
(301) 540-3100
Fax
(301) 540-3128
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Mrs. Cindy Leigh Moore-Crase
Title
Office Manager
Phone
(301) 540-3100

Specialties & licenses 1

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

Addresses

Primary practice location

18014 Mateny Rd
Germantown, MD 20874-2112

Mailing address

18014 Mateny Rd
Germantown, MD 20874-2112
Phone (301) 540-3100

National Provider Directory

National Provider Directory

Locations

18014 Mateny Rd
Germantown, MD 20874
Phone (301) 540-3100

Practitioners & affiliated clinicians

Practitioners 3

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": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1487989133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18014 MATENY RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742112",
            "telephone_number": "301-540-3100",
            "fax_number": "301-540-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18014 MATENY RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742112",
            "telephone_number": "301-540-3100",
            "fax_number": "301-540-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "MOORE-CRASE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-540-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.