Active NPI
Elise Tigani Endres, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Burtonsville, MD
National Provider Identifier
1902524200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 16806
- Practice address
- 3905 National Dr Ste 170
Burtonsville, MD 20866-6102 - Phone
- (301) 989-0088
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 16806 | MD | Primary |
Addresses
Primary practice location
3905 National Dr Ste 170
Burtonsville, MD 20866-6102
Mailing address
3802 Leland St
Chevy Chase, MD 20815-4902
Other names 1
- Dr. Elise Katherine Tigani
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.endresdentalcare.com | Direct |
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 |
|---|---|---|---|
| 16806 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric a Endres DDS LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Burtonsville, MD
- NPI 1528991320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1902524200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 LELAND ST",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 NATIONAL DR STE 170",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208666102",
"telephone_number": "301-989-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDRES",
"first_name": "ELISE",
"middle_name": "TIGANI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "16806",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.endresdentalcare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3905 National Dr Ste 170",
"city": "Burtonsville",
"state": "MD",
"country_code": "US",
"postal_code": "208666102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELISE",
"last_name": "TIGANI",
"middle_name": "KATHERINE",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.