Active NPI
Jilna Raichura, RDH, MS
- Dental Hygienist
- Rockville, MD
National Provider Identifier
1518724319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5358
- Practice address
- 16815 Crabbs Branch Way
Rockville, MD 20855-2215 - Phone
- (301) 963-4330
- NPI assigned
- Feb 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5358 | MD | Primary |
Addresses
Primary practice location
16815 Crabbs Branch Way
Rockville, MD 20855-2215
Mailing address
4412 Skymist Ter
Olney, MD 20832-2824
Phone (202) 262-4870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5358 | MD | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manlucu Dental Group PC | Current | Accepting new patients |
Locations
16815 Crabbs Branch Way
Rockville, MD 20855
Phone (301) 963-4330
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Rockville, MD
- NPI 1336962315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1518724319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 SKYMIST TER",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322824",
"telephone_number": "202-262-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16815 CRABBS BRANCH WAY",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208552215",
"telephone_number": "301-963-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAICHURA",
"first_name": "JILNA",
"credential": "RDH, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "5358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.