Active NPI
Ariel Anderson
- Dentist
- Olney, MD
National Provider Identifier
1750125506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18086
- Practice address
- 17721 Georgia Ave
Olney, MD 20832-2231 - Phone
- (301) 744-2474
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18086 | MD | Primary |
Addresses
Primary practice location
17721 Georgia Ave
Olney, MD 20832-2231
Mailing address
17721 Georgia Ave
Olney, MD 20832-2231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18086 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1750125506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17721 GEORGIA AVE",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17721 GEORGIA AVE",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322231",
"telephone_number": "301-744-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ARIEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.