NPIMap

Organization Active NPI

Frederick Family Dental, Inc.

  • Dentist
  • Frederick, MD
National Provider Identifier
1548407430
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10637 Issued in MD
Legal business name
FREDERICK FAMILY DENTAL, INC.
Practice address
45 Waverley Dr Ste O
Frederick, MD 21702-4855
Phone
(301) 624-5999
Fax
(301) 624-5997
NPI assigned
Jan 14, 2009
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Gary N ArrindellNPI 1801915434
Title
Owner
Phone
(301) 439-5445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10637 MD Primary

Addresses

Primary practice location

45 Waverley Dr Ste O
Frederick, MD 21702-4855

Mailing address

1835 University Blvd E
Hyattsville, MD 20783-4600
Phone (301) 439-5445

National Provider Directory

National Provider Directory

Locations

45 Waverley Dr
Ste O
Frederick, MD 21702
Phone (301) 624-5999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1548407430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 UNIVERSITY BLVD E",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834600",
            "telephone_number": "301-439-5445",
            "fax_number": "301-439-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WAVERLEY DR STE O",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024855",
            "telephone_number": "301-624-5999",
            "fax_number": "301-624-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK FAMILY DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ARRINDELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-439-5445",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "10637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.