NPIMap

Organization Active NPI

Chevy Chase Pediatric Center P.C.

Doing business as Chevy Chase Pediatric Center, Inc.

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1902963309
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHEVY CHASE PEDIATRIC CENTER P.C.
Doing business as
Chevy Chase Pediatric Center, Inc.
Practice address
6931 Arlington Rd Ste 340
Bethesda, MD 20814-5231
Phone
(202) 363-0300
Fax
(202) 363-7251
NPI assigned
Jan 3, 2007
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Howard Bennett, MDNPI 1295750842
Title
Owner
Phone
(202) 363-0300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD12072 DC
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

6931 Arlington Rd Ste 340
Bethesda, MD 20814-5231

Mailing address

6931 Arlington Rd Ste 340
Bethesda, MD 20814-5231
Phone (202) 363-0300

Other names 1

  • Chevy Chase Pediatric Center, Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D0208341Chevy Chase Pediatric Center PC6931 Arlington Rd St 340, Bethesda, MD 20814Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1902963309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 ARLINGTON RD STE 340",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145231",
            "telephone_number": "202-363-0300",
            "fax_number": "202-363-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 ARLINGTON RD STE 340",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145231",
            "telephone_number": "202-363-0300",
            "fax_number": "202-363-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVY CHASE PEDIATRIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-363-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "DC",
            "license": "MD12072",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chevy Chase Pediatric Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.