Calcium Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CALCIUM DENTAL

Practice address

15805 Robert Crain Highway SW
Suite E
Brandywine, MD 20613

Phone

(724) 734-3593

NPI assigned

Mar 27, 2024

Organization subpart

No

Name

Dr. Diondre Venable, DDSNPI 1689006025

Title

Owner/General Dentist

Phone

(724) 734-3593

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

• Diondre Lamar Venable, DDS

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

Locations

• Diondre L. Venable, DDS LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2024.

{
    "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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• All providers in Brandywine, MD
• 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.