NPIMap

Organization Active NPI

Ambiance Dental Spa

  • General Practice Dentistry
  • Bowie, MD
National Provider Identifier
1508078007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13170 Issued in MD
Legal business name
AMBIANCE DENTAL SPA
Practice address
12500 A Fairwood Parkway
Bowie, MD 20720
Phone
(301) 262-2624
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Clarine Green Hightower, DDSNPI 1427297373
Title
Owner
Phone
(202) 251-7440

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 13170 MD Primary

Addresses

Primary practice location

12500 A Fairwood Parkway
Bowie, MD 20720

Mailing address

14815 Dolphin Way
Bowie, MD 20721
Phone (301) 249-2207

National Provider Directory

National Provider Directory

Locations

12500 Fairwood Pkwy
Ste A
Bowie, MD 20720
Phone (301) 262-2624

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508078007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 DOLPHIN WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20721",
            "telephone_number": "301-249-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 A FAIRWOOD PARKWAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20720",
            "telephone_number": "301-262-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIANCE DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "CLARINE",
        "authorized_official_middle_name": "GREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-251-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.