Active NPI
Michael Mendelson, DDS
- Public Health Dentistry
- Landover, MD
National Provider Identifier
1528585247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 6427
- Practice address
- 4351 Garden City Dr
Landover, MD 20785-2223 - Phone
- (301) 459-3650
- NPI assigned
- Aug 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 6427 | MD | Primary |
Addresses
Primary practice location
4351 Garden City Dr
Landover, MD 20785-2223
Mailing address
4611 Woodfield Rd
Bethesda, MD 20814-4043
Phone (301) 530-6860
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6427 | MD | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503446400000",
"number": "1528585247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 WOODFIELD RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144043",
"telephone_number": "301-530-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 GARDEN CITY DR",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207852223",
"telephone_number": "301-459-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSON",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-23",
"last_updated": "2017-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MD",
"license": "6427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Landover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.