Individual provider Active NPI

Antoine Doumit, D.M.D. CAGS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Leonardtown, MD
National Provider Identifier
1619974300
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10909 Issued in MD
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10909MDMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dentistry PastSince Nov 12, 2023 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.

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.

Verify at the official NPI Registry.