Active NPI
Shailja Dhir Ensor, D.D.S.
- Pediatric Dentistry
- Rockville, MD
National Provider Identifier
1639268832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 9900
- Practice address
- 11810 Parklawn Dr Ste 101
Rockville, MD 20852-2528 - Phone
- (301) 881-6170
- NPI assigned
- Oct 12, 2006
- Last updated
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160511002771 | MD | Order and Referring Only - Dentist | 1153610316 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9900 | MD | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Ensor Johnson & Lewis LLC | Pediatric Dentistry | Current | 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.
-
- Pediatric Dentistry
- Rockville, MD
- NPI 1376881441
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.