Jessica Allison Chorvinsky, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16378 Issued in MD

Practice address

12520 Prosperity Dr Ste 300
Silver Spring, MD 20904-1664

Phone

(301) 989-8994

Fax

(301) 989-2434

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Allison Goodman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr. Camps Pediatric Dental Center

  • Pediatric Dentistry
  • Silver Spring, MD
  • NPI 1265423842
  NPD
• Gina C Pham DDS PC

  • Pediatric Dentistry
  • Woodbridge, VA
  • NPI 1801029590
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1922535657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 PROSPERITY DR STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041664",
            "telephone_number": "301-989-8994",
            "fax_number": "301-989-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 PROSPERITY DR STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041664",
            "telephone_number": "301-989-8994",
            "fax_number": "301-989-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORVINSKY",
        "first_name": "JESSICA",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16378",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GOODMAN",
            "middle_name": "ALLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Medjie Choisy
• Nyen V Chong, M.D.
• Alyssa Karren Choo, PA-C
• Marie C Choppin
• Choral Healthcare Services, Inc.
• Margaret Chou, MD
• Isha Choudhary, MD
• Mowree Choudhury, M.D.
• Choudry, Ijaz and Ali P.a.
• Hyo Shik Choung

• All providers in Silver Spring, MD
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.