NPIMap

Organization Active NPI

Dynamic Dental Care, LLC

  • Dentist
  • Columbia, MD
National Provider Identifier
1922458769
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13269 Issued in MD
Legal business name
DYNAMIC DENTAL CARE, LLC
Practice address
5410 Lynx LN
Suite 290
Columbia, MD 21044-2376
Phone
(410) 910-9716
Fax
(301) 879-5430
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Kweku L Jangha, DDSNPI 1447269683
Title
Owner/Dentist
Phone
(301) 879-8337

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13269 MD Primary

Addresses

Primary practice location

5410 Lynx LN
Suite 290
Columbia, MD 21044-2376

Mailing address

5410 Lynx LN
Suite 290
Columbia, MD 21044-2376
Phone (410) 910-9716

Other names 1

  • Dynamic Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

5410 Lynx Ln
Ste 290
Columbia, MD 21044
Phone (410) 910-9716

Practitioners & affiliated clinicians

Practitioners 6

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": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1922458769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 LYNX LN",
            "address_2": "SUITE 290",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442376",
            "telephone_number": "410-910-9716",
            "fax_number": "301-879-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 LYNX LN",
            "address_2": "SUITE 290",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442376",
            "telephone_number": "410-910-9716",
            "fax_number": "301-879-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "JANGHA",
        "authorized_official_first_name": "KWEKU",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "301-879-8337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.