Organization Active NPI

Greenbelt Dental Associates, LLC

  • General Practice Dentistry
  • Greenbelt, MD
National Provider Identifier
1730669649
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GREENBELT DENTAL ASSOCIATES, LLC
Practice address
7500 Greenway Center Dr Ste 120
Greenbelt, MD 20770-3528
Phone
(301) 474-2505
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Dr. Emma Galvan, DDSNPI 1881795672
Title
Member
Phone
(301) 474-2505

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7500 Greenway Center Dr Ste 120
Greenbelt, MD 20770-3528

Mailing address

7500 Greenway Center Dr Ste 120
Greenbelt, MD 20770-3528
Phone (301) 474-2505

National Provider Directory

National Provider Directory

Locations

7500 Greenway Center Dr
Ste 120
Greenbelt, MD 20770
Phone (301) 474-2505

Practitioners & affiliated clinicians

Practitioners 2

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": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1730669649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR STE 120",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703528",
            "telephone_number": "301-474-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR STE 120",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703528",
            "telephone_number": "301-474-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBELT DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-474-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.