Organization Active NPI

District Endodontics Gaithersburg LLC

  • Endodontics
  • Gaithersburg, MD
National Provider Identifier
1972456143
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
DISTRICT ENDODONTICS GAITHERSBURG LLC
Practice address
610 Professional Dr Ste 255
Gaithersburg, MD 20879-3463
Phone
(530) 304-5571
NPI assigned
Feb 18, 2026
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Mrs. Traci Hurst
Title
Business Manager
Phone
(240) 723-3274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

610 Professional Dr Ste 255
Gaithersburg, MD 20879-3463

Mailing address

610 Professional Dr Ste 255
Gaithersburg, MD 20879-3463

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1972456143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR STE 255",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR STE 255",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793463",
            "telephone_number": "530-304-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT ENDODONTICS GAITHERSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "240-723-3274",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.