NPIMap

Organization Active NPI

Healthy Dental of Windsor Mill LLC

  • Dentist
  • Windsor Mill, MD
National Provider Identifier
1508305228
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14742 Issued in MD
Legal business name
HEALTHY DENTAL OF WINDSOR MILL LLC
Practice address
8063 Liberty Rd
Windsor Mill, MD 21244-2966
Phone
(410) 995-9999
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Dr. Madhu Venkata R Nadimpalli, DDS, MPA
Title
General Dentist / Owner
Phone
(410) 995-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14742 MD Primary

Addresses

Primary practice location

8063 Liberty Rd
Windsor Mill, MD 21244-2966

Mailing address

3114 Queens Chapel Rd
Hyattsville, MD 20782-3665
Phone (201) 257-7095

National Provider Directory

National Provider Directory

Locations

8063 Liberty Rd
Windsor Mill, MD 21244
Phone (410) 995-9999

Practitioners & affiliated clinicians

Practitioners 5

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": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1508305228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 QUEENS CHAPEL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823665",
            "telephone_number": "201-257-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8063 LIBERTY RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442966",
            "telephone_number": "410-995-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY DENTAL OF WINDSOR MILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "NADIMPALLI",
        "authorized_official_first_name": "MADHU VENKATA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL DENTIST / OWNER",
        "authorized_official_telephone_number": "410-995-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "14742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.