NPIMap

Organization Active NPI

Maryland Family and General Dentistry, L.L.C

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1689118911
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11536 Issued in MD
Legal business name
MARYLAND FAMILY AND GENERAL DENTISTRY, L.L.C
Practice address
13975 Connecticut Ave
Suite 202
Silver Spring, MD 20906-2921
Phone
(301) 598-3910
Fax
(301) 603-0861
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Dr. Soorita D Goorita, D.D.S
Title
Dentist
Phone
(301) 598-3910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 11536 MD Primary

Addresses

Primary practice location

13975 Connecticut Ave
Suite 202
Silver Spring, MD 20906-2921

Mailing address

13975 Connecticut Ave
Suite 202
Silver Spring, MD 20906-2921
Phone (301) 598-3910

National Provider Directory

National Provider Directory
Tax ID family
Maryland Family and General Dentistry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1689118911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE",
            "address_2": "SUITE 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062921",
            "telephone_number": "301-598-3910",
            "fax_number": "301-603-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE",
            "address_2": "SUITE 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062921",
            "telephone_number": "301-598-3910",
            "fax_number": "301-603-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND FAMILY AND GENERAL DENTISTRY, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "GOORITA",
        "authorized_official_first_name": "SOORITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-598-3910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "11536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.