Active NPI
Christopher Joseph McTavish, D.M.D., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Frederick, MD
National Provider Identifier
1912039769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 13531
- Practice address
- 3500 Campus Dr
Suite 104
Frederick, MD 21704-7922 - Phone
- (301) 874-0080
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 13531 | MD | Primary |
Addresses
Primary practice location
3500 Campus Dr
Suite 104
Frederick, MD 21704-7922
Mailing address
3500 Campus Dr
Suite 104
Frederick, MD 21704-7922
Phone (301) 874-0080
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13531 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1912039769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 CAMPUS DR",
"address_2": "SUITE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047922",
"telephone_number": "301-874-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CAMPUS DR",
"address_2": "SUITE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047922",
"telephone_number": "301-874-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCTAVISH",
"first_name": "CHRISTOPHER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "13531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.