NPIMap

Organization Active NPI

Smile RX Dental

  • General Practice Dentistry
  • Bowie, MD
National Provider Identifier
1881963635
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14105 Issued in MD
Legal business name
SMILE RX DENTAL
Practice address
2905 Mitchellville Rd Ste 109
Bowie, MD 20716-3956
Phone
(301) 806-4851
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Dr. Aatifa Khan, DDSNPI 1578758272
Title
Dentist/Owner
Phone
(301) 806-4851

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14105 MD Primary

Addresses

Primary practice location

2905 Mitchellville Rd Ste 109
Bowie, MD 20716-3956

Mailing address

2905 Mitchellville Road
Ste 108
Bowie, MD 20716

National Provider Directory

National Provider Directory

Locations

2905 Mitchellville Rd
Ste 108
Bowie, MD 20716
Phone (301) 218-0398

Practitioners & affiliated clinicians

Practitioners 1

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": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1881963635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE ROAD",
            "address_2": "STE 108",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD STE 109",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163956",
            "telephone_number": "301-806-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE RX DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AATIFA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-806-4851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.