NPIMap

Organization Active NPI

Rockville Dental Center

  • General Practice Dentistry
  • Rockville, MD
National Provider Identifier
1609151828
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14087 Issued in MD
Legal business name
ROCKVILLE DENTAL CENTER
Practice address
77 S Washington St
Suite 200
Rockville, MD 20850-2335
Phone
(301) 340-0313
Fax
(301) 340-8182
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Jianming DuanNPI 1295993301
Title
Owner
Phone
(301) 340-0313

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 14087 MD Primary

Addresses

Primary practice location

77 S Washington St
Suite 200
Rockville, MD 20850-2335

Mailing address

77 S Washington St
Suite 200
Rockville, MD 20850-2335
Phone (301) 340-0313

National Provider Directory

National Provider Directory

Locations

77 S Washington St
Ste 200
Rockville, MD 20850
Phone (301) 340-0313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1609151828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502335",
            "telephone_number": "301-340-0313",
            "fax_number": "301-340-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502335",
            "telephone_number": "301-340-0313",
            "fax_number": "301-340-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "DUAN",
        "authorized_official_first_name": "JIANMING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-340-0313"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.