Organization Active NPI

Gentle Green Dental Care LLC

  • General Practice Dentistry
  • Lexington Park, MD
National Provider Identifier
1558747311
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14169 Issued in MD
Legal business name
GENTLE GREEN DENTAL CARE LLC
Practice address
46400 Lexington Village Way
Ste 101
Lexington Park, MD 20653-5564
Phone
(240) 237-8050
NPI assigned
Aug 4, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Dr. Kareema Kim Mohomed, DMDNPI 1326254244
Title
Dentist/Owner
Phone
(240) 237-8050

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14169 MD Primary

Addresses

Primary practice location

46400 Lexington Village Way
Ste 101
Lexington Park, MD 20653-5564

Mailing address

46400 Lexington Village Way
Ste 101
Lexington Park, MD 20653-5564
Phone (240) 237-8050

National Provider Directory

National Provider Directory

Locations

46400 Lexington Village Way
Ste 101
Lexington Park, MD 20653
Phone (240) 237-8050

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": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1558747311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46400 LEXINGTON VILLAGE WAY",
            "address_2": "STE 101",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206535564",
            "telephone_number": "240-237-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46400 LEXINGTON VILLAGE WAY",
            "address_2": "STE 101",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206535564",
            "telephone_number": "240-237-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE GREEN DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "MOHOMED",
        "authorized_official_first_name": "KAREEMA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "240-237-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.