Organization Active NPI

Children's Choice Pediatric Dentistry

  • Pediatric Dentistry
  • New Carrollton, MD
National Provider Identifier
1932626801
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14623 Issued in MD
Legal business name
CHILDREN'S CHOICE PEDIATRIC DENTISTRY
Practice address
8500 Annapolis Rd Ste 213
New Carrollton, MD 20784-3020
Phone
(301) 731-8510
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Dr. Jonelle Grant-Anamelechi, DDS
Title
Owner
Phone
(919) 641-2676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 14623 MD Primary

Addresses

Primary practice location

8500 Annapolis Rd Ste 213
New Carrollton, MD 20784-3020

Mailing address

8500 Annapolis Rd Ste 213
New Carrollton, MD 20784-3020
Phone (301) 731-8510

Other identifiers 1

IdentifierTypeStateIssuer
14623OtherMDDENTAL BOARD

National Provider Directory

National Provider Directory

Locations

8500 Annapolis Rd
Ste 213
New Carrollton, MD 20784
Phone (301) 731-8510

Practitioners & affiliated clinicians

Practitioners 2

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": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1932626801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 ANNAPOLIS RD STE 213",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843020",
            "telephone_number": "301-731-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 ANNAPOLIS RD STE 213",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843020",
            "telephone_number": "301-731-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CHOICE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "GRANT-ANAMELECHI",
        "authorized_official_first_name": "JONELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-641-2676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD",
            "identifier": "14623",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.