Core Health Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CORE HEALTH GROUP

Practice address

100 Lakeforest Blvd Ste 620
Gaithersburg, MD 20877-6203

Phone

(301) 990-7778

NPI assigned

Oct 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Wandana Mistry, DDS

Title

Owner

Phone

(301) 806-0217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1699316638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TITONKA CT",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKEFOREST BLVD STE 620",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208776203",
            "telephone_number": "301-990-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "WANDANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-806-0217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline W Cook
• Jennifer Cook, LGSW
• Aniya Cooper
• Marvie Corbett
• Shaleen Ann Corder, CNM
• Jocellyn Natasha Coreas
• Carlos Cortes
• Gloria E Cortez, RN
• Ashia Rayshawn Cosby
• William Nunes Costa, LSA, SA-C

• Dental Clinic/Center in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.