NPIMap

Organization Active NPI

Smile Loft Bethesda LLC

  • General Practice Dentistry
  • Bethesda, MD
National Provider Identifier
1811441108
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14982 Issued in MD
Legal business name
SMILE LOFT BETHESDA LLC
Practice address
7201 Wisconsin Ave
Suite 370
Bethesda, MD 20814-4810
Phone
(301) 264-5015
Fax
(301) 264-5014
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Vaibhav Rai, DDSNPI 1962784843
Title
Owner
Phone
(301) 264-5015

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14982 MD Primary

Addresses

Primary practice location

7201 Wisconsin Ave
Suite 370
Bethesda, MD 20814-4810

Mailing address

7201 Wisconsin Ave
Suite 370
Bethesda, MD 20814-4810
Phone (301) 264-5015

Other identifiers 1

IdentifierTypeStateIssuer
057073700MedicaidMD

National Provider Directory

National Provider Directory

Locations

7201 Wisconsin Ave
Ste 370
Bethesda, MD 20814
Phone (301) 264-5015

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1811441108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 WISCONSIN AVE",
            "address_2": "SUITE 370",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144810",
            "telephone_number": "301-264-5015",
            "fax_number": "301-264-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 WISCONSIN AVE",
            "address_2": "SUITE 370",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144810",
            "telephone_number": "301-264-5015",
            "fax_number": "301-264-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LOFT BETHESDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "VAIBHAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-264-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057073700",
            "state": "MD"
        }
    ],
    "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 Aug 4, 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.