NPIMap

Organization Active NPI

Maple Lawn Dental Care, LLC

  • Dentist
  • Fulton, MD
National Provider Identifier
1598053696
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12534 Issued in MD
Legal business name
MAPLE LAWN DENTAL CARE, LLC
Practice address
7625 Maple Lawn Blvd Ste 275
Fulton, MD 20759-2562
Phone
(301) 725-0990
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Mr. Tom Ngo
Title
Office Manager
Phone
(301) 725-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12534 MD Primary

Addresses

Primary practice location

7625 Maple Lawn Blvd Ste 275
Fulton, MD 20759-2562

Mailing address

7625 Maple Lawn Blvd Ste 275
Fulton, MD 20759-2562
Phone (301) 725-0990

National Provider Directory

National Provider Directory

Locations

7625 Maple Lawn Blvd
Ste 275
Fulton, MD 20759
Phone (301) 725-0990

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1598053696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 275",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592562",
            "telephone_number": "301-725-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 275",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592562",
            "telephone_number": "301-725-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LAWN DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-725-0990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.