Organization Active NPI

RKM Orthodontics LLC

  • Dental Clinic/Center
  • Largo, MD
National Provider Identifier
1548813876
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RKM ORTHODONTICS LLC
Practice address
1401 Mercantile LN Ste 102
Largo, MD 20774-4306
Phone
(301) 773-7703
Fax
(301) 773-7708
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Dr. Robert Mensah, DDSNPI 1346427820
Title
Owner
Phone
(732) 532-9266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1401 Mercantile LN Ste 102
Largo, MD 20774-4306

Mailing address

1401 Mercantile LN Ste 102
Largo, MD 20774-4306
Phone (301) 773-7703

Other identifiers 2

IdentifierTypeStateIssuer
091770900MedicaidDC
097190100MedicaidMD

Other names 2

  • Evolve Orthodontics Doing business as
  • Woodview Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1548813876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN STE 102",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744306",
            "telephone_number": "301-773-7703",
            "fax_number": "301-773-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN STE 102",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744306",
            "telephone_number": "301-773-7703",
            "fax_number": "301-773-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RKM ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-532-9266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091770900",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097190100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodview Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.