Organization Active NPI

Mark C. Herlson,D.D.S.,P.a.

  • General Practice Dentistry
  • Bethesda, MD
National Provider Identifier
1760506653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4946 Issued in MD
Legal business name
MARK C. HERLSON,D.D.S.,P.A.
Practice address
5411 W Cedar LN Ste 208a
Bethesda, MD 20814-1526
Phone
(301) 530-9111
Fax
(301) 530-1898
NPI assigned
Mar 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark C. Herlson, D.D.S.NPI 1104093137
Title
President
Phone
(301) 530-9111

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 Dentistry 1223G0001X 4946 MD Primary

Addresses

Primary practice location

5411 W Cedar LN Ste 208a
Bethesda, MD 20814-1526

Mailing address

5411 W Cedar LN Ste 208a
Bethesda, MD 20814-1526
Phone (301) 530-9111

National Provider Directory

National Provider Directory

Locations

5411 W Cedar Ln
Ste 208A
Bethesda, MD 20814
Phone (301) 530-9111

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760506653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 W CEDAR LN STE 208A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141526",
            "telephone_number": "301-530-9111",
            "fax_number": "301-530-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 W CEDAR LN STE 208A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141526",
            "telephone_number": "301-530-9111",
            "fax_number": "301-530-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C. HERLSON,D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERLSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-530-9111",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "4946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.