Bdic LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BDIC LLC

Doing business as

Bethesda Dental Implant Center

Practice address

5626 Shields Dr
Bethesda, MD 20817-3532

Phone

(301) 493-6200

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Raha Yousefi, DDS

Title

Periodontist

Phone

(724) 816-6393

Specialties & licenses 1

Addresses

Other names 1

• Bethesda Dental Implant Center Doing business as

Locations

Practitioners 2

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

• Adam Eskow

  • Dentist
  • Bethesda, MD
  • NPI 1245542463
  NPD (past)
• Roy Lionel Eskow, D.D.S.

  • Periodontics
  • Bethesda, MD
  • NPI 1861583122
  NPD (past)

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1639820590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173532",
            "telephone_number": "301-493-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173532",
            "telephone_number": "301-493-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "YOUSEFI",
        "authorized_official_first_name": "RAHA",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "724-816-6393",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Marie Baxley, LICSW
• Michael Robert Baydarian, M.D.
• Robert Bayer, M.D.
• Louise Bayly, LCSW
• BCC Audiology LLC
• Brucinda Louise Beach, LCSW
• Beacon Retina, P.C.
• Charles William Beadling, M.D.
• Douglas Beakes, MD
• Beth L. Beal, DO

• Periodontics in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.