Active NPI
Politimi Mantzouranis DDS LLC
- General Practice Dentistry
- Frederick, MD
National Provider Identifier
1700051943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8159
- Legal business name
- POLITIMI MANTZOURANIS DDS LLC
- Practice address
- 140 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4483 - Phone
- (301) 662-8675
- Fax
- (301) 662-8975
- NPI assigned
- Apr 29, 2008
- Last updated
- Apr 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Arrington
- Title
- Patient Care Coordinator/Manager
- Phone
- (301) 662-8675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8159 | MD | Primary |
Addresses
Primary practice location
140 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4483
Mailing address
140 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285773531 | Other | NPI INDIVIDUAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
140 Thomas Johnson Dr
Ste 203
Frederick, MD 21702
Phone (301) 662-8675
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Frederick, MD
- NPI 1285773531
-
- Dentist
- Frederick, MD
- NPI 1023634243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1700051943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 THOMAS JOHNSON DR",
"address_2": "SUITE 203",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 THOMAS JOHNSON DR",
"address_2": "SUITE 203",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024483",
"telephone_number": "301-662-8675",
"fax_number": "301-662-8975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLITIMI MANTZOURANIS DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "ARRINGTON",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "PATIENT CARE COORDINATOR/MANAGER",
"authorized_official_telephone_number": "301-662-8675",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "8159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL NUMBER",
"identifier": "1285773531",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.