NPIMap

Organization Active NPI

Comprehensive Integrative Dentistry

  • Preferred Provider Organization
  • N Bethesda, MD
National Provider Identifier
1851726343
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
12906 Issued in MD
Legal business name
COMPREHENSIVE INTEGRATIVE DENTISTRY
Practice address
5809 Nicholson LN
Suite T123
N Bethesda, MD 20852-5701
Phone
(301) 770-2270
Fax
(301) 468-5553
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Dr. Gary D Adams, DDS
Title
Owner
Phone
(301) 770-2270

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 12906 MD Primary
Preferred Provider Organization 305R00000X 12663 MD
Preferred Provider Organization 305R00000X 13707 MD
Preferred Provider Organization 305R00000X 15459 MD

Addresses

Primary practice location

5809 Nicholson LN
Suite T123
N Bethesda, MD 20852-5701

Mailing address

5809 Nicholson LN
Suite T123
N Bethesda, MD 20852-5701
Phone (301) 770-2270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1851726343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 NICHOLSON LN",
            "address_2": "SUITE T123",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208525701",
            "telephone_number": "301-770-2270",
            "fax_number": "301-468-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 NICHOLSON LN",
            "address_2": "SUITE T123",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208525701",
            "telephone_number": "301-770-2270",
            "fax_number": "301-468-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INTEGRATIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-770-2270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "12906",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "12663",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "13707",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "15459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.