Active NPI
Adam H Ta, D.D.S.
- Pediatric Dentistry
- Olney, MD
National Provider Identifier
1649427964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 14230
- Practice address
- 2923 Olney Sandy Spring Rd Ste D
Olney, MD 20832-1583 - Phone
- (301) 924-5500
- Fax
- (301) 924-0412
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 14230 | MD | Primary |
Addresses
Primary practice location
2923 Olney Sandy Spring Rd Ste D
Olney, MD 20832-1583
Mailing address
2410 Evergreen Road, Suite 101
Gambrills, MD 21054
Phone (410) 721-3393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14230 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649427964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 EVERGREEN ROAD, SUITE 101",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "21054",
"telephone_number": "410-721-3393",
"fax_number": "410-721-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2923 OLNEY SANDY SPRING RD STE D",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321583",
"telephone_number": "301-924-5500",
"fax_number": "301-924-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TA",
"first_name": "ADAM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "14230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.