Chevy Chase Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHEVY CHASE PEDIATRIC DENTISTRY

Practice address

8401 Connecticut Ave Ste 650
Chevy Chase, MD 20815-5839

Phone

(301) 272-1246

Fax

(301) 272-1248

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Karen Benitez, DDSNPI 1588843528

Title

LLC, Owner

Phone

(301) 272-1246

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chevy Chase Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chevy Chase Pediatric Dentistry

  • Dental Clinic/Center
  • Chevy Chase, MD
  • NPI 1003636036
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Benitez, D.D.S.

  • Pediatric Dentistry
  • Stamford, CT
  • NPI 1588843528
  NPD Authorized official
• Bianca Anne Hassoun

  • Pediatric Dentistry
  • Kenosha, WI
  • NPI 1760902654
  NPD (past)

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1952996878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 650",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155839",
            "telephone_number": "301-272-1246",
            "fax_number": "301-272-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 650",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155839",
            "telephone_number": "301-272-1246",
            "fax_number": "301-272-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVY CHASE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "LLC, OWNER",
        "authorized_official_telephone_number": "301-272-1246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588843528",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chevy Chase ENT Associates, LLC
• Chevy Chase Foot & Ankle
• Chevy Chase Implant & Oral Surgery. L.L.C.
• Chevy Chase Orthodontics (The Orthodontic Studio at Chevy Chase Lake)
• Chevy Chase Pediatric Dentistry
• Chevy Chase Surgical Associates, P.C.
• Chevy Chase Wellness Center L.L.C.
• John Andrew Chick, DMD
• Chickpea Counseling Services, LLC
• Children's Pediatricians & Associates, LLC

• Pediatric Dentistry in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.