Organization Active NPI

Smile Dental

  • Dentist
  • Wheaton, MD
National Provider Identifier
1871056416
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE DENTAL
Practice address
2621 University Blvd W
Wheaton, MD 20902-1912
Phone
(301) 949-4600
Fax
(301) 949-7979
NPI assigned
Apr 10, 2019
Last updated
Apr 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Rajwant Singh, DDSNPI 1760638894
Title
Owner
Phone
(301) 438-2003

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

2621 University Blvd W
Wheaton, MD 20902-1912

Mailing address

2621 University Blvd W
Wheaton, MD 20902-1912
Phone (301) 949-4600

Other practice location 1

1013 University Blvd E
Silver Spring, MD 20903-3705
Phone (301) 408-1645

Other practice location 2

201 N Frederick Ave
Gaithersburg, MD 20877-2455
Phone (301) 977-6628

Other practice location 3

14440 Layhill Rd
Silver Spring, MD 20906-1911
Phone (301) 438-2003

Other identifiers 1

IdentifierTypeStateIssuer
63951MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL smiledental144@hotmail.com Direct

National Provider Directory

National Provider Directory

Locations

201 N Frederick Ave
Gaithersburg, MD 20877
Phone (301) 977-6628

2621 University Blvd W
Wheaton, MD 20902
Phone (301) 588-2701

Practitioners & affiliated clinicians

Practitioners 3

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": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1871056416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 UNIVERSITY BLVD W",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021912",
            "telephone_number": "301-949-4600",
            "fax_number": "301-438-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 UNIVERSITY BLVD W",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021912",
            "telephone_number": "301-949-4600",
            "fax_number": "301-949-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 University Blvd E",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209033705",
            "country_code": "US",
            "telephone_number": "301-408-1645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Frederick Ave",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772455",
            "country_code": "US",
            "telephone_number": "301-977-6628",
            "fax_number": "301-977-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14440 Layhill Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209061911",
            "country_code": "US",
            "telephone_number": "301-438-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RAJWANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-438-2003",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63951",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smiledental144@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "smiledental144@hotmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14440 Layhill Rd",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209061911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.