Active NPI
Children'S Choice Pediatric Dentistry
- Pediatric Dentistry
- New Carrollton, MD
National Provider Identifier
1508279340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 14623
- Legal business name
- CHILDREN'S CHOICE PEDIATRIC DENTISTRY
- Practice address
- 8500 Annapolis Rd Ste 213
New Carrollton, MD 20784-3014 - Phone
- (301) 731-8510
- Fax
- (888) 390-5037
- NPI assigned
- Jun 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonelle Senita Grant, DDS,MSPH
- Title
- Managing Member
- Phone
- (919) 641-2676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 14623 | MD | Primary |
Addresses
Primary practice location
8500 Annapolis Rd Ste 213
New Carrollton, MD 20784-3014
Mailing address
2821 12TH St NE
Washington, DC 20017-2402
Phone (919) 641-2676
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Arnold, MD
- NPI 1336794155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402358400000",
"number": "1508279340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 12TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172402",
"telephone_number": "919-641-2676",
"fax_number": "888-390-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 ANNAPOLIS RD STE 213",
"city": "NEW CARROLLTON",
"state": "MD",
"postal_code": "207843014",
"telephone_number": "301-731-8510",
"fax_number": "888-390-5037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S CHOICE PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "JONELLE",
"authorized_official_middle_name": "SENITA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "919-641-2676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS,MSPH"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "14623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Carrollton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.