Organization Active NPI

Dental Design Studio Inc

  • Dentist
  • Hagerstown, MD
National Provider Identifier
1629038294
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MD7900 Issued in MD
Legal business name
DENTAL DESIGN STUDIO INC
Practice address
222 E Oak Ridge Dr
Ste 700
Hagerstown, MD 21740
Phone
(301) 797-9119
Fax
(301) 797-4925
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. Richard Bain Prather III, DDSNPI 1346579570
Title
Doctor Dentist President of Corpora
Phone
(301) 797-9119

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 MD7900 MD Primary

Addresses

Primary practice location

222 E Oak Ridge Dr
Ste 700
Hagerstown, MD 21740

Mailing address

222 E Oak Ridge Dr
Ste 700
Hagerstown, MD 21740
Phone (301) 797-9119

National Provider Directory

National Provider Directory

Locations

222 E Oak Ridge Dr
Ste 700
Hagerstown, MD 21740
Phone (301) 797-9119

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1629038294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E OAK RIDGE DR",
            "address_2": "STE 700",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-797-9119",
            "fax_number": "301-797-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E OAK RIDGE DR",
            "address_2": "STE 700",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-797-9119",
            "fax_number": "301-797-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DESIGN STUDIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BAIN",
        "authorized_official_title_or_position": "DOCTOR DENTIST PRESIDENT OF CORPORA",
        "authorized_official_telephone_number": "301-797-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "MD7900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.