Organization Active NPI

Kiddie Cavity Care

  • Dentist
  • Temple Hills, MD
National Provider Identifier
1689943938
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1000562 Issued in DC
Legal business name
KIDDIE CAVITY CARE
Practice address
3743 Branch Ave Ste a
Temple Hills, MD 20748-1408
Phone
(240) 606-2699
Fax
(202) 470-2124
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. Ephraim Lorenzo Altmon, DDSNPI 1376754424
Title
Owner
Phone
(202) 470-3676

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN1000562 DC Primary

Addresses

Primary practice location

3743 Branch Ave Ste a
Temple Hills, MD 20748-1408

Mailing address

3743 Branch Ave Ste a
Temple Hills, MD 20748-1408
Phone (240) 606-2699

National Provider Directory

National Provider Directory

Locations

4301 Connecticut Ave NW
Ste 453
Washington, DC 20008
Phone (202) 470-3676

3743 Branch Ave
Ste A
Temple Hills, MD 20748
Phone (240) 606-2699

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": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1689943938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 BRANCH AVE STE A",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481408",
            "telephone_number": "240-606-2699",
            "fax_number": "202-470-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 BRANCH AVE STE A",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481408",
            "telephone_number": "240-606-2699",
            "fax_number": "202-470-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDIE CAVITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "ALTMON",
        "authorized_official_first_name": "EPHRAIM",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-470-3676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000562",
            "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 Apr 9, 2024; 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.