Individual provider Active NPI

Lennox Wharton-Lake, D.D.S

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1871785444
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00009628 Issued in MD
Practice address
11120 New Hampshire Ave Ste 401
Silver Spring, MD 20904-2620
Phone
(301) 681-5550
Fax
(301) 681-0351
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00009628 MD Primary

Addresses

Primary practice location

11120 New Hampshire Ave Ste 401
Silver Spring, MD 20904-2620

Mailing address

11120 New Hampshire Ave Ste 401
Silver Spring, MD 20904-2620
Phone (301) 681-5550

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

LicenseStateTypeSpecialty
00009628MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1871785444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 401",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042620",
            "telephone_number": "301-681-5550",
            "fax_number": "301-681-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 401",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042620",
            "telephone_number": "301-681-5550",
            "fax_number": "301-681-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON-LAKE",
        "first_name": "LENNOX",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "00009628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.