NPIMap

Organization Active NPI

GD MD MHV LLC

  • General Practice Dentistry
  • Burtonsville, MD
National Provider Identifier
1992571897
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GD MD MHV LLC
Practice address
2918 Spencerville Rd
Burtonsville, MD 20866-1434
Phone
(301) 421-1996
NPI assigned
Nov 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Chad Hendricks
Title
Credentialing
Phone
(612) 859-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2918 Spencerville Rd
Burtonsville, MD 20866-1434

Mailing address

2918 Spencerville Rd
Burtonsville, MD 20866-1434
Phone (301) 421-1996

Other names 1

  • Maryland Holistic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2918 Spencerville Rd
Burtonsville, MD 20866
Phone (301) 421-1996

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1992571897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 SPENCERVILLE RD",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661434",
            "telephone_number": "301-421-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 SPENCERVILLE RD",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661434",
            "telephone_number": "301-421-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD MD MHV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Holistic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.