NPIMap

Organization Active NPI

Divine Smiles Dentistry

  • General Practice Dentistry
  • Bethesda, MD
National Provider Identifier
1669760195
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13779 Issued in MD
Legal business name
DIVINE SMILES DENTISTRY
Practice address
8001 Wisconsin Ave
Suite 103
Bethesda, MD 20814-3602
Phone
(301) 613-3211
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Dr. Rochelle Nunez
Title
Member
Phone
(301) 613-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13779 MD Primary

Addresses

Primary practice location

8001 Wisconsin Ave
Suite 103
Bethesda, MD 20814-3602

Mailing address

8001 Wisconsin Ave
Suite 103
Bethesda, MD 20814-3602
Phone (301) 613-3211

National Provider Directory

National Provider Directory

Locations

8001 Wisconsin Ave
Ste 103
Bethesda, MD 20814
Phone (301) 312-8210

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1669760195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 WISCONSIN AVE",
            "address_2": "SUITE 103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143602",
            "telephone_number": "301-613-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 WISCONSIN AVE",
            "address_2": "SUITE 103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143602",
            "telephone_number": "301-613-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SMILES DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-613-3211",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.