Individual provider Active NPI

Vlad Alexandru Damian, DDS

  • Dentist
  • Frederick, MD
National Provider Identifier
1962954677
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS041059 Issued in PA
Practice address
8203 Winter Snow CT
Frederick, MD 21702-3075
Phone
(301) 471-9695
NPI assigned
Oct 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS041059 PA Primary

Addresses

Primary practice location

8203 Winter Snow CT
Frederick, MD 21702-3075

Mailing address

8203 Winter Snow CT
Frederick, MD 21702-3075
Phone (301) 471-9695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180404002360 PA Order and Referring Only - DentistPractitioner - Dentist 5496018442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1962954677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 WINTER SNOW CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023075",
            "telephone_number": "301-471-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 WINTER SNOW CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023075",
            "telephone_number": "301-471-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIAN",
        "first_name": "VLAD",
        "middle_name": "ALEXANDRU",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.