Organization Active NPI

Columbia Endodontics LLC

  • Endodontics
  • Columbia, MD
National Provider Identifier
1629922190
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
COLUMBIA ENDODONTICS LLC
Practice address
10632 Little Patuxent Pkwy Ste 252
Columbia, MD 21044-6237
Phone
(410) 730-0755
Fax
(410) 730-3342
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Dr. David Desta, DDS,M.S.NPI 1144610916
Title
Endodontics
Phone
(410) 730-0755

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

10632 Little Patuxent Pkwy Ste 252
Columbia, MD 21044-6237

Mailing address

10632 Little Patuxent Pkwy Ste 252
Columbia, MD 21044-6237
Phone (410) 730-0755

National Provider Directory

National Provider Directory

Locations

10632 Little Patuxent Pkwy
Ste 252
Columbia, MD 21044
Phone (410) 730-0755

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": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1629922190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY STE 252",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446237",
            "telephone_number": "410-730-0755",
            "fax_number": "410-730-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY STE 252",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446237",
            "telephone_number": "410-730-0755",
            "fax_number": "410-730-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ENDODONTICS",
        "authorized_official_telephone_number": "410-730-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.