NPIMap

Individual provider Active NPI

Allen Gotora, DDS

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1780831289
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14124 Issued in MD
Practice address
11239 Lockwood Dr
Silver Spring, MD 20901-4554
Phone
(301) 754-1900
NPI assigned
Aug 26, 2008
Last updated
May 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14124 MD Primary
Pediatric Dentistry 1223P0221X 14124 MD

Addresses

Primary practice location

11239 Lockwood Dr
Silver Spring, MD 20901-4554

Mailing address

5105 Griffendale LN
Upper Marlboro, MD 20772-3180
Phone (202) 203-0230

Other practice location 1

5505 Sargent Rd
Hyattsville, MD 20782-2320
Phone (301) 853-1567

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Dental, LLC General Practice Current Accepting new patients
Stellar Dental of Hyattsville, LLC CurrentSince May 1, 2022 Accepting new patients
Stellar Dental, LLC CurrentSince May 1, 2022 Accepting new patients
Dr. David M. Vieth, PC General Practice Past Accepting new patients

Locations

11239 Lockwood Dr
Silver Spring, MD 20901
Phone (301) 593-4400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1780831289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 GRIFFENDALE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723180",
            "telephone_number": "202-203-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014554",
            "telephone_number": "301-754-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Sargent Rd",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207822320",
            "country_code": "US",
            "telephone_number": "301-853-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTORA",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14124",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.