NPIMap

Organization Active NPI

Laplata Urology Center,LLC

  • Urology Physician
  • La Plata, MD
National Provider Identifier
1730200155
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0051225 Issued in MD
Legal business name
LAPLATA UROLOGY CENTER,LLC
Practice address
101 Centennial St
Suite E
La Plata, MD 20646-5975
Phone
(301) 392-0525
Fax
(301) 392-0458
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Vladimir Kakitelashvili, M.D.NPI 1700882297
Title
Medical Doctor Urology
Phone
(301) 392-0525

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X D0051225 MD Primary

Addresses

Primary practice location

101 Centennial St
Suite E
La Plata, MD 20646-5975

Mailing address

101 Centennial St
Suite E
La Plata, MD 20646-5975
Phone (301) 392-0525

Other identifiers 2

IdentifierTypeStateIssuer
K858OtherDCCARE FIRST BC BS DC
281CLAOtherMDCARE FIRST BC BS MD

National Provider Directory

National Provider Directory

Locations

101 Centennial St
Ste E
La Plata, MD 20646
Phone (301) 392-0525

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10919

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1730200155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CENTENNIAL ST",
            "address_2": "SUITE E",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465975",
            "telephone_number": "301-392-0525",
            "fax_number": "301-392-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTENNIAL ST",
            "address_2": "SUITE E",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465975",
            "telephone_number": "301-392-0525",
            "fax_number": "301-392-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPLATA UROLOGY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "KAKITELASHVILI",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "MEDICAL DOCTOR UROLOGY",
        "authorized_official_telephone_number": "301-392-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MD",
            "license": "D0051225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BC BS DC",
            "identifier": "K858",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BC BS MD",
            "identifier": "281CLA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.