Active NPI
Lennox Wharton-Lake, D.D.S
- Dentist
- Silver Spring, MD
National Provider Identifier
1871785444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00009628
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00009628 | MD | MD | Dentist |
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.