Bethesda Chevy Chase Dental Care

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BETHESDA CHEVY CHASE DENTAL CARE

Practice address

6831 Wisconsin Ave
P101
Chevy Chase, MD 20815-6122

Phone

(301) 986-8777

Fax

(301) 986-8873

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ben Manesh

Title

Owner / Operator

Phone

(301) 986-8777

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Supertooth Dental Group Other name

Locations

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1992138697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 WISCONSIN AVE",
            "address_2": "P101",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156122",
            "telephone_number": "301-986-8777",
            "fax_number": "301-986-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 WISCONSIN AVE",
            "address_2": "P101",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156122",
            "telephone_number": "301-986-8777",
            "fax_number": "301-986-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA CHEVY CHASE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "MANESH",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "301-986-8777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039934100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supertooth Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ida M Bergstrom, M.D.
• Daniel M Berinstein, M.D.
• David K Berler, MD
• Steven Howard Bernstein Jr., M.D.
• Edward W Bernton, M.D.
• Bethesda-Chevy Chase Psychological Services LLC
• Bev Fontaine LLC
• Divya Bhandari, O.D.
• Susan T. Billington, SLP
• John Bing, C.R.N.A.

• Dentist in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.