NPIMap

Organization Active NPI

Alpine Dental and Denture Center LLC

  • General Practice Dentistry
  • Montgomery Village, MD
National Provider Identifier
1740663236
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13877 Issued in MD
Legal business name
ALPINE DENTAL AND DENTURE CENTER LLC
Practice address
9126 Rothbury Dr
Montgomery Village, MD 20886-1400
Phone
(301) 740-3955
Fax
(301) 740-3978
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Ajmal H Khan, DMDNPI 1790898922
Title
Dentist/Owener
Phone
(301) 740-3955

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 13877 MD Primary

Addresses

Primary practice location

9126 Rothbury Dr
Montgomery Village, MD 20886-1400

Mailing address

9126 Rothbury Dr
Montgomery Village, MD 20886-1400
Phone (301) 740-3955

National Provider Directory

National Provider Directory

Locations

9126 Rothbury Dr
Montgomery Village, MD 20886
Phone (301) 740-3955

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": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1740663236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 ROTHBURY DR",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861400",
            "telephone_number": "301-740-3955",
            "fax_number": "301-740-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9126 ROTHBURY DR",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861400",
            "telephone_number": "301-740-3955",
            "fax_number": "301-740-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE DENTAL AND DENTURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AJMAL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST/OWENER",
        "authorized_official_telephone_number": "301-740-3955",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.