Individual provider Active NPI

Rachel Victoria Dulebohn, D.M.D.

  • Periodontics
  • Bethesda, MD
National Provider Identifier
1790064707
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN014302 Issued in GA
Practice address
8955 Wood Road
Building 1 , 2ND Floor, Periodontics
Bethesda, MD 20889-5628
Phone
(301) 295-0077
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014302 GA
Periodontics 1223P0300X DN014302 GA Primary

Addresses

Primary practice location

8955 Wood Road
Building 1 , 2ND Floor, Periodontics
Bethesda, MD 20889-5628

Mailing address

8955 Wood Road
Building 1 , 2ND Floor, Periodontics
Bethesda, MD 20889-5628
Phone (301) 295-0077

Other practice location 1

101 Buchanan Rd Unit 6th
Annapolis, MD 21402-5107
Phone (410) 233-3901

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

LicenseStateTypeSpecialty
DN014302GAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1790064707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 WOOD ROAD",
            "address_2": "BUILDING 1 , 2ND FLOOR, PERIODONTICS",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895628",
            "telephone_number": "301-295-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 WOOD ROAD",
            "address_2": "BUILDING 1 , 2ND FLOOR, PERIODONTICS",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895628",
            "telephone_number": "301-295-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Buchanan Rd Unit 6th",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214025107",
            "country_code": "US",
            "telephone_number": "410-233-3901",
            "fax_number": "410-293-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULEBOHN",
        "first_name": "RACHEL",
        "middle_name": "VICTORIA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014302",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN014302",
            "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 Jul 9, 2025; 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.