Active NPI
Antoine Doumit, D.M.D. CAGS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Leonardtown, MD
National Provider Identifier
1619974300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10909
- Practice address
- 23140 Moakley St
Suite 3
Leonardtown, MD 20650-2930 - Phone
- (301) 997-0666
- Fax
- (301) 997-0402
- NPI assigned
- Jul 7, 2005
- Reactivated
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10909 | MD | Primary |
Addresses
Primary practice location
23140 Moakley St
Suite 3
Leonardtown, MD 20650-2930
Mailing address
2405 Eye St NW
Suite 8 C
Washington, DC 20037-2206
Phone (202) 549-9090
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10909 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dentistry | Past | Accepting new patients | |
| Sequence Orthodontics | Orthodontics and Dentofacial Orthopedics | Past | 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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Leonardtown, MD
- NPI 1124892344
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Leonardtown, MD
- NPI 1205496726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619974300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 EYE ST NW",
"address_2": "SUITE 8 C",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372206",
"telephone_number": "202-549-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23140 MOAKLEY ST",
"address_2": "SUITE 3",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502930",
"telephone_number": "301-997-0666",
"fax_number": "301-997-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUMIT",
"first_name": "ANTOINE",
"name_prefix": "Dr.",
"credential": "D.M.D. CAGS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "10909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.