Organization Active NPI

Total Dental Care

  • Dentist
  • Germantown, MD
National Provider Identifier
1790148419
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10598 Issued in MD
Legal business name
TOTAL DENTAL CARE
Practice address
20680 Seneca Meadows Pkwy
Suite 218
Germantown, MD 20876-7022
Phone
(301) 928-6890
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Dr. Mary Bowers AlexanderNPI 1588828073
Title
Managing Owner
Phone
(301) 928-6890

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 10598 MD Primary

Addresses

Primary practice location

20680 Seneca Meadows Pkwy
Suite 218
Germantown, MD 20876-7022

Mailing address

20680 Seneca Meadows Pkwy
Suite 218
Germantown, MD 20876-7022
Phone (301) 928-6890

Other identifiers 2

IdentifierTypeStateIssuer
1588828073OtherMDNPI NUMBER
1275670937OtherMDNPI NUMBER

National Provider Directory

National Provider Directory

Locations

20680 Seneca Meadows Pkwy
Ste 218
Germantown, MD 20876
Phone (240) 813-9111

Practitioners & affiliated clinicians

Practitioners 2

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": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1790148419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20680 SENECA MEADOWS PKWY",
            "address_2": "SUITE 218",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767022",
            "telephone_number": "301-928-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20680 SENECA MEADOWS PKWY",
            "address_2": "SUITE 218",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767022",
            "telephone_number": "301-928-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BOWERS",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "301-928-6890",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "10598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1588828073",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1275670937",
            "state": "MD"
        }
    ],
    "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 Mar 30, 2016; 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.