NPIMap

Organization Active NPI

Family Dental Care LLC

  • Dental Clinic/Center
  • Temple Hills, MD
National Provider Identifier
1649861188
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FAMILY DENTAL CARE LLC
Practice address
7063 Allentown Rd
Temple Hills, MD 20748-5301
Phone
(301) 449-1088
Fax
(301) 449-3924
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Dr. Isis Massoud, DDSNPI 1033100938
Title
Dentist
Phone
(301) 449-1088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7063 Allentown Rd
Temple Hills, MD 20748-5301

Mailing address

7063 Allentown Rd
Temple Hills, MD 20748-5301
Phone (301) 449-1088

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1649861188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7063 ALLENTOWN RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485301",
            "telephone_number": "301-449-1088",
            "fax_number": "301-449-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7063 ALLENTOWN RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485301",
            "telephone_number": "301-449-1088",
            "fax_number": "301-449-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "MASSOUD",
        "authorized_official_first_name": "ISIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-449-1088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.