Individual provider Active NPI

Mary Bowers Alexander, DDS

  • Periodontics
  • Silver Spring, MD
National Provider Identifier
1588828073
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10598 Issued in MD
Practice address
800 Balboa Dr
Silver Spring, MD 20905-5893
Phone
(301) 928-6890
Fax
(301) 879-9683
NPI assigned
Jul 14, 2008
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 10598 MD Primary

Addresses

Primary practice location

800 Balboa Dr
Silver Spring, MD 20905-5893

Mailing address

800 Balboa Dr
Silver Spring, MD 20905-5893
Phone (301) 928-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 17, 2016 through Aug 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10598MDMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Dental Care Past Accepting new patients

Organizations & group practices 1

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1588828073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BALBOA DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055893",
            "telephone_number": "301-928-6890",
            "fax_number": "301-879-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BALBOA DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055893",
            "telephone_number": "301-928-6890",
            "fax_number": "301-879-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MARY",
        "middle_name": "BOWERS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "10598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.