Nikolay Dimitrov Mollov, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15082 Issued in MD

Practice address

13975 Connecticut Ave
Suite 200-201
Silver Spring, MD 20906-2921

Phone

(301) 460-1212

Fax

(301) 603-0861

NPI assigned

Aug 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modern Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bristow, VA
  • NPI 1932538253
  NPD (past) Authorized official
• Aspen Hill General& Cosmetic Dentistry

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1831102227
  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1942557103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S VAN DORN ST",
            "address_2": "APT. V604",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044254",
            "telephone_number": "703-862-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE",
            "address_2": "SUITE 200-201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062921",
            "telephone_number": "301-460-1212",
            "fax_number": "301-603-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOV",
        "first_name": "NIKOLAY",
        "middle_name": "DIMITROV",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "15082",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401413531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rithu Moideenkutty, SLP
• Fatemeh Mojarrad, D.D.S.
• Herodias Mokonou
• Tigist Sintayhu Mola
• Ejigayehu Molloro
• Art Molnar
• Bukola Molokwu
• Nezhla Bozorgmand Momayezi
• Juliane Virginia Momdjol, RD/LDN
• Suleiman Momoh

• Orthodontics and Dentofacial Orthopedics Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.