NPIMap

Organization Active NPI

Kentlands Pediatrics, LLC

  • Pediatrics Physician
  • Gaithersburg, MD
National Provider Identifier
1912564626
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KENTLANDS PEDIATRICS, LLC
Practice address
108 Kent Square Rd
Gaithersburg, MD 20878-5650
Phone
(240) 888-3609
NPI assigned
May 29, 2019
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Dr. Ellie Sepehri, MDNPI 1013259845
Title
Physician
Phone
(240) 888-3609

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
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

108 Kent Square Rd
Gaithersburg, MD 20878-5650

Mailing address

108 Kent Square Rd
Gaithersburg, MD 20878-5650
Phone (240) 888-3609

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1912564626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 KENT SQUARE RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785650",
            "telephone_number": "240-888-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KENT SQUARE RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785650",
            "telephone_number": "240-888-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTLANDS PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "SEPEHRI",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "240-888-3609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.