Individual provider Active NPI

Luciana De Mello Marinho

  • Dental Hygienist
  • Gaithersburg, MD
National Provider Identifier
1619756269
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
8429 Issued in MD
Practice address
20036 Goshen Rd
Gaithersburg, MD 20879-1604
Phone
(240) 683-6009
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 8429 MD Primary

Addresses

Primary practice location

20036 Goshen Rd
Gaithersburg, MD 20879-1604

Mailing address

3637 Marcey Creek Rd
Laurel, MD 20724-1912
Phone (240) 708-9551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8429MDMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Cha-Camp Dental LLC PastSince Oct 1, 2023 Accepting new patients
MJ Cosmetic Dentistryllc PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1619756269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MARCEY CREEK RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241912",
            "telephone_number": "240-708-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20036 GOSHEN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791604",
            "telephone_number": "240-683-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MELLO MARINHO",
        "first_name": "LUCIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "8429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.