Calcium Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CALCIUM DENTAL

Doing business as

Diondre L. Venable, DDS LLC

Practice address

15805 Robert Crain Highway SW
Suite E
Brandywine, MD 20613

Phone

(724) 734-3593

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diondre Venable, DDSNPI 1689006025

Title

Owner/General Dentist

Phone

(724) 734-3593

Specialties & licenses 1

Addresses

Other names 1

• Diondre L. Venable, DDS LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diondre Lamar Venable, DDS

  • Dentist
  • Fort Drum, NY
  • NPI 1689006025
  NPD Authorized official

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1649021973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12060 ABBERLY PL APT 203",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012715",
            "telephone_number": "724-734-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15805 ROBERT CRAIN HIGHWAY SW",
            "address_2": "SUITE E",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "20613",
            "telephone_number": "724-734-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCIUM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-23",
        "status": "A",
        "authorized_official_last_name": "VENABLE",
        "authorized_official_first_name": "DIONDRE",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "724-734-3593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diondre L. Venable, DDS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Brandywine, MD
• Providers in Brandywine, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.