Individual provider Active NPI

Cord Hartwig Schlobohm, DMD

  • Dentist
  • Bethesda, MD
National Provider Identifier
1679751416
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10398 Issued in MD
Practice address
4830 Cordell Ave
Bethesda, MD 20814-3011
Phone
(301) 656-8788
Fax
(301) 656-4207
NPI assigned
Feb 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10398 MD Primary

Addresses

Primary practice location

4830 Cordell Ave
Bethesda, MD 20814-3011

Mailing address

4830 Cordell Ave
Bethesda, MD 20814-3011
Phone (301) 656-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817003057 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436322245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1679751416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 CORDELL AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143011",
            "telephone_number": "301-656-8788",
            "fax_number": "301-656-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 CORDELL AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143011",
            "telephone_number": "301-656-8788",
            "fax_number": "301-656-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOBOHM",
        "first_name": "CORD",
        "middle_name": "HARTWIG",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "10398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.