Active NPI
Michael Urban, DDS
- Dentist
- Gaithersburg, MD
National Provider Identifier
1568529345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10472
- Practice address
- 101 Lakeforest Blvd Ste 101B
Gaithersburg, MD 20877-2626 - Phone
- (301) 869-1170
- Fax
- (301) 869-0569
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7185 | NV | |
| Dentist | 122300000X | 10472 | MD | Primary |
Addresses
Primary practice location
101 Lakeforest Blvd Ste 101B
Gaithersburg, MD 20877-2626
Mailing address
101 Lakeforest Blvd Ste 101B
Gaithersburg, MD 20877-2626
Phone (301) 869-1170
Other practice location 1
7171 W Craig Rd Ste 102
Las Vegas, NV 89129-6018
Phone (702) 655-0331
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 |
|---|---|---|---|
| 10472 | MD | MD | Dentist |
| 7185 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahrestani Las Vegas Modern Dentistry, PC | General Practice | Past | Accepting new patients |
| Viviana P. Urban,DDS, Michael J. Urban,DDS, PA | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Gaithersburg, MD
- NPI 1770973091
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1588943948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1568529345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LAKEFOREST BLVD STE 101B",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208772626",
"telephone_number": "301-869-1170",
"fax_number": "301-869-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LAKEFOREST BLVD STE 101B",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208772626",
"telephone_number": "301-869-1170",
"fax_number": "301-869-0569"
}
],
"practiceLocations": [
{
"address_1": "7171 W Craig Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891296018",
"country_code": "US",
"telephone_number": "702-655-0331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URBAN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7185",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "10472",
"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 Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.