Individual provider Active NPI

Bryan Gover, D.D.S.

  • General Practice Dentistry
  • Gaithersburg, MD
National Provider Identifier
1558516237
Registry record updated Nov 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MD11500 Issued in MD
Practice address
8 Russell Ave
Suite #105
Gaithersburg, MD 20877-2966
Phone
(301) 216-0592
NPI assigned
Nov 23, 2008
Last updated
Nov 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X MD11500 MD Primary

Addresses

Primary practice location

8 Russell Ave
Suite #105
Gaithersburg, MD 20877-2966

Mailing address

18053 Cottage Garden Dr
Apartment #203
Germantown, MD 20874-5808
Phone (301) 972-9550

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

LicenseStateTypeSpecialty
MD11500MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chamber Family Dentistry LLC General Practice PastSince Jan 15, 2023 Accepting new patients
Figueredo Associates,PC. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227398400000",
    "number": "1558516237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18053 COTTAGE GARDEN DR",
            "address_2": "APARTMENT #203",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745808",
            "telephone_number": "301-972-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RUSSELL AVE",
            "address_2": "SUITE #105",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772966",
            "telephone_number": "301-216-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVER",
        "first_name": "BRYAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-23",
        "last_updated": "2008-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD11500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2008; 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.