Individual provider Active NPI

Namita Kumari Thapar-Dua, D.D.S.

  • Dentist
  • Germantown, MD
National Provider Identifier
1801030705
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12515 Issued in MD
Practice address
20528 Boland Farm Rd Ste 215
Germantown, MD 20876-4038
Phone
(301) 875-7477
Fax
(301) 637-3222
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12515 MD Primary

Addresses

Primary practice location

20528 Boland Farm Rd Ste 215
Germantown, MD 20876-4038

Mailing address

20528 Boland Farm Road
Suite 215
Germantown, MD 20876
Phone (301) 875-7477

Other names 1

  • Dr. Namita Thapar Chaudhary Former name

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
12515MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pristine Smiles LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1801030705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM ROAD",
            "address_2": "SUITE 215",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20876",
            "telephone_number": "301-875-7477",
            "fax_number": "301-637-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD STE 215",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764038",
            "telephone_number": "301-875-7477",
            "fax_number": "301-637-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAPAR-DUA",
        "first_name": "NAMITA",
        "middle_name": "KUMARI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAMITA",
            "last_name": "CHAUDHARY",
            "middle_name": "THAPAR",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 7, 2021; 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.