NPIMap

Organization Active NPI

Vitelli Comprehensive Dentistry LLC

  • Dental Clinic/Center
  • Germantown, MD
National Provider Identifier
1760995757
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12894 Issued in MD
Legal business name
VITELLI COMPREHENSIVE DENTISTRY LLC
Practice address
19873 Century Blvd Ste 230
Germantown, MD 20874-7144
Phone
(301) 972-1400
Fax
(301) 540-2132
NPI assigned
Nov 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Debbie B Thorpe
Title
Office Manager
Phone
(301) 972-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12894 MD Primary

Addresses

Primary practice location

19873 Century Blvd Ste 230
Germantown, MD 20874-7144

Mailing address

19873 Century Blvd Ste 230
Germantown, MD 20874-7144
Phone (301) 972-1400

National Provider Directory

National Provider Directory

Locations

19873 Century Blvd
Ste 230
Germantown, MD 20874
Phone (301) 972-1400

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": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1760995757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19873 CENTURY BLVD STE 230",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208747144",
            "telephone_number": "301-972-1400",
            "fax_number": "301-540-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19873 CENTURY BLVD STE 230",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208747144",
            "telephone_number": "301-972-1400",
            "fax_number": "301-540-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITELLI COMPREHENSIVE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-972-1400"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.