Organization Active NPI

RCT Endodontics of North Potomac, LLC

  • Endodontics
  • North Potomac, MD
National Provider Identifier
1801404157
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
RCT ENDODONTICS OF NORTH POTOMAC, LLC
Practice address
11906 Darnestown Rd Ste G
North Potomac, MD 20878-2200
Phone
(301) 947-3400
Fax
(240) 243-2269
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Ms. Mary T Baggarly
Title
Manager
Phone
(240) 260-3221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

11906 Darnestown Rd Ste G
North Potomac, MD 20878-2200

Mailing address

16901 Melford Blvd Ste 332
Bowie, MD 20715-4443
Phone (240) 260-3221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1801404157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 MELFORD BLVD STE 332",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154443",
            "telephone_number": "240-260-3221",
            "fax_number": "240-243-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 DARNESTOWN RD STE G",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782200",
            "telephone_number": "301-947-3400",
            "fax_number": "240-243-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCT ENDODONTICS OF NORTH POTOMAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "BAGGARLY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-260-3221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.