Active NPI
Columbia Prime Dental LLC
- General Practice Dentistry
- Elkridge, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14156
- Legal business name
- COLUMBIA PRIME DENTAL LLC
- Practice address
- 6801 Douglas Legum Dr Ste C
Elkridge, MD 21075-6273 - Phone
- (410) 381-8283
- Fax
- (413) 254-5304
- NPI assigned
- May 9, 2011
- Last updated
- Sep 17, 2026
- 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
- Ludmila Hristova Tchakarova, DDS
- Title
- DDS/Owner
- Phone
- (410) 381-8283
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14156 | MD | Primary |
| Customized Equipment (DME) | 332BC3200X | NU |
Addresses
Primary practice location
6801 Douglas Legum Dr Ste C
Elkridge, MD 21075-6273
Mailing address
6801 Douglas Legum Dr
Elkridge, MD 21075-6273
Phone (410) 381-8283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027642100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
7060 Oakland Mills Rd
Ste J
Columbia, MD 21046
Phone (832) 415-4957
6801 Douglas Legum Dr
Elkridge, MD 21075
Phone (410) 799-0818
6801 Douglas Legum Dr
Ste C
Elkridge, MD 21075
Phone (410) 381-8283
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Elkridge, MD
- NPI 1356677728
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1720370737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 DOUGLAS LEGUM DR",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756273",
"telephone_number": "410-381-8283",
"fax_number": "413-254-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 DOUGLAS LEGUM DR STE C",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756273",
"telephone_number": "410-381-8283",
"fax_number": "413-254-5304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA PRIME DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-09",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "TCHAKAROVA",
"authorized_official_first_name": "LUDMILA",
"authorized_official_middle_name": "HRISTOVA",
"authorized_official_title_or_position": "DDS/OWNER",
"authorized_official_telephone_number": "410-381-8283",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14156",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027642100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.