Kaa Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

15464 Issued in MD

Legal business name

KAA DENTAL LLC

Doing business as

Montgomery Dental MD

Practice address

10007 Stedwick Rd
Montgomery Village, MD 20886-3710

Phone

(240) 288-9999

NPI assigned

Oct 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kiran Venkata Nayudu, DDSNPI 1720391030

Title

Dentist

Phone

(240) 288-9999

Specialties & licenses 1

Addresses

Other names 1

• Montgomery Dental MD Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiran V Nayudu, DDS

  • Dentist
  • Montgomery Village, MD
  • NPI 1720391030
  NPD Authorized official

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

{
    "created_epoch": "1507420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1801306535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 RANDOLPH WAY APT 202",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434790",
            "telephone_number": "443-902-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 STEDWICK RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863710",
            "telephone_number": "240-288-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-08",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "NAYUDU",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "240-288-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "15464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Dental MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Robert Jones, DDS
• Joseph M Rosenwald DDS PC
• Miosoty Joseph
• Elizabeth Joyal, FNP-C
• Ashley Jung
• Tamanna Karim, MD
• Ronna Ross Keagle, DPT
• Thomas M. Keahey, M.D.
• Kehinde Osunsan, DDS, P.C.
• Sherwin Alan Kevy, D.D.S.

• Dental Clinic/Center in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.