Individual provider Active NPI

Shailja Dhir Ensor, D.D.S.

  • Pediatric Dentistry
  • Rockville, MD
National Provider Identifier
1639268832
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9900 Issued in MD
Practice address
11810 Parklawn Dr Ste 101
Rockville, MD 20852-2528
Phone
(301) 881-6170
NPI assigned
Oct 12, 2006
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 9900 MD Primary

Addresses

Primary practice location

11810 Parklawn Dr Ste 101
Rockville, MD 20852-2528

Mailing address

11810 Parklawn Dr Ste 101
Rockville, MD 20852-2528
Phone (301) 881-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511002771 MD Order and Referring Only - DentistPractitioner - Dentist 1153610316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9900MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Ensor Johnson & Lewis LLC Pediatric Dentistry CurrentSince Feb 25, 2024 Accepting new patients

Locations

11301 Rockville Pike
Kensington, MD 20895
Phone (301) 881-4335

11810 Parklawn Dr
Ste 101
Rockville, MD 20852
Phone (301) 881-6170

Organizations & group practices 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1639268832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 PARKLAWN DR STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522528",
            "telephone_number": "301-881-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 PARKLAWN DR STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522528",
            "telephone_number": "301-881-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSOR",
        "first_name": "SHAILJA",
        "middle_name": "DHIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "9900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.