NPIMap

Organization Active NPI

North Bethesda Dental Associates, P.C.

  • Dentist
  • Rockville, MD
National Provider Identifier
1619430949
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NORTH BETHESDA DENTAL ASSOCIATES, P.C.
Practice address
11400 Rockville Pike Ste 509
Rockville, MD 20852-3024
Phone
(301) 881-7646
Fax
(301) 881-7688
NPI assigned
Apr 12, 2019
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Dr. Charles Doring, DDSNPI 1881766913
Title
President
Phone
(301) 881-7646

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11400 Rockville Pike Ste 509
Rockville, MD 20852-3024

Mailing address

11400 Rockville Pike Ste 509
Rockville, MD 20852-3024
Phone (301) 881-7646

Other names 1

  • North Bethesda Dental Associates Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@nbda.dentist Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260205003497 MI DME Supplier - Oral Surgery - Dentist 3476032863 Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

11400 Rockville Pike
Ste 509
Rockville, MD 20852
Phone (301) 881-7646

Practitioners & affiliated clinicians

Practitioners 3

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": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1619430949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE STE 509",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523024",
            "telephone_number": "301-881-7646",
            "fax_number": "301-881-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE STE 509",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523024",
            "telephone_number": "301-881-7646",
            "fax_number": "301-881-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BETHESDA DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "DORING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-881-7646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nbda.dentist",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11400 Rockville Pike Ste 509",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208523024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Bethesda Dental Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.