Active NPI
A Ran Song, RDH
- Dental Hygienist
- Gaithersburg, MD
National Provider Identifier
1811454010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 7680
- Practice address
- 200 Girard St Ste 212B
Gaithersburg, MD 20877-3490 - Phone
- (301) 840-8339
- NPI assigned
- Feb 23, 2019
- Last updated
- Feb 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 7680 | MD | Primary |
Addresses
Primary practice location
200 Girard St Ste 212B
Gaithersburg, MD 20877-3490
Mailing address
10742 Enfield Dr
Woodstock, MD 21163-1416
Phone (443) 980-6521
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7680 | MD | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550880000000",
"number": "1811454010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10742 ENFIELD DR",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "211631416",
"telephone_number": "443-980-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GIRARD ST STE 212B",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208773490",
"telephone_number": "301-840-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "A",
"middle_name": "RAN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-23",
"last_updated": "2019-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "7680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.