NPIMap

Organization Active NPI

Anis Tebyanian DMD MD PA

Doing business as Olney Center For Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Olney, MD
National Provider Identifier
1609487891
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ANIS TEBYANIAN DMD MD PA
Doing business as
Olney Center For Oral and Maxillofacial Surgery
Practice address
18109 Prince Philip Dr Ste 245
Olney, MD 20832-1597
Phone
(301) 924-2155
Fax
(301) 924-2376
NPI assigned
Aug 12, 2020
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Dr. Anis Tebyanian, DMD MDNPI 1487973061
Title
Owner/President
Phone
(301) 924-2155

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

18109 Prince Philip Dr Ste 245
Olney, MD 20832-1597

Mailing address

18109 Prince Philip Dr Ste 245
Olney, MD 20832-1597
Phone (301) 924-2155

Other names 1

  • Olney Center For Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

18109 Prince Philip Dr
Ste 245
Olney, MD 20832
Phone (301) 924-2155

Practitioners & affiliated clinicians

Practitioners 4

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": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1609487891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR STE 245",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321597",
            "telephone_number": "301-924-2155",
            "fax_number": "301-924-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR STE 245",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321597",
            "telephone_number": "301-924-2155",
            "fax_number": "301-924-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIS TEBYANIAN DMD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "TEBYANIAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-924-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olney Center For Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.