NPIMap

Organization Active NPI

Woodsboro Dental

  • General Practice Dentistry
  • Woodsboro, MD
National Provider Identifier
1659703353
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13379 Issued in MD
Legal business name
WOODSBORO DENTAL
Practice address
309 S 2ND St
Woodsboro, MD 21798-8511
Phone
(301) 898-7151
NPI assigned
Aug 5, 2013
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL ENHANCEMENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Amaris Little Rajaski, D.D.S.
Title
Owner
Phone
(443) 756-8875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13379 MD Primary

Addresses

Primary practice location

309 S 2ND St
Woodsboro, MD 21798-8511

Mailing address

309 S 2ND St
Woodsboro, MD 21798-8511
Phone (301) 898-7151

National Provider Directory

National Provider Directory
Part of
Dental Enhancement Center LLC

Locations

309 S 2nd St
Woodsboro, MD 21798
Phone (301) 898-7151

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1659703353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S 2ND ST",
            "city": "WOODSBORO",
            "state": "MD",
            "postal_code": "217988511",
            "telephone_number": "301-898-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S 2ND ST",
            "city": "WOODSBORO",
            "state": "MD",
            "postal_code": "217988511",
            "telephone_number": "301-898-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSBORO DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL ENHANCEMENT CENTER",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "LITTLE RAJASKI",
        "authorized_official_first_name": "AMARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-756-8875",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodsboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.