NPIMap

Organization Active NPI

Ulery Dental and Orthodontics

  • Dentist
  • Laurel, MD
National Provider Identifier
1821680596
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ULERY DENTAL AND ORTHODONTICS
Practice address
12793 Laurel Bowie Rd
Laurel, MD 20708-2606
Phone
(301) 623-3737
Fax
(301) 623-9995
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Mr. Kevin Ramkishun
Title
Credentialing Director
Phone
(407) 543-8509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

12793 Laurel Bowie Rd
Laurel, MD 20708-2606

Mailing address

600 Technology Park Ste 101
Lake Mary, FL 32746-7122
Phone (800) 786-1613

National Provider Directory

National Provider Directory
Tax ID family
Ulery Dental and Orthodontics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12793 Laurel Bowie Rd
Laurel, MD 20708
Phone (301) 623-3737

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1821680596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TECHNOLOGY PARK STE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467122",
            "telephone_number": "800-786-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12793 LAUREL BOWIE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082606",
            "telephone_number": "301-623-3737",
            "fax_number": "301-623-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULERY DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "RAMKISHUN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "407-543-8509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

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