CHESAPEAKE ORTHODONTICS, LLC (NPI# 1902258940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902258940 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE ORTHODONTICS, LLC |
| Practice Address |
690 Prince Frederick Blvd Prince Frederick MD 20678-3146 |
| Mailing Address |
690 Prince Frederick Blvd North Prince Frederick MD 20678 |
| Practice Telephone | 4439688133 |
| Mailing Telephone | 4439688133 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | DR. THOMAS HAO (PARTNER) |
| Authorized Official Telephone | 4439688133 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
15273 | MD | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
13436 | MD | Dental Providers |
| Street Address |
690 PRINCE FREDERICK BLVD |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1528429321 | Jim Lee, LLC | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678-3146 | 2016-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| 1497944888 | Dr. Saleh & Associates, LLC | Psychiatry & Neurology | 110 Hospital Rd., Suite 302, Prince Frederick, MD 20678 | 2007-10-22 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586596 | Radha Krishnan | Dentist | 294 Merrimac Ct, Ste 294, Prince Frederick, MD 20678-4110 | 2005-05-24 |
| 1528429321 | Jim Lee, LLC | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678-3146 | 2016-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234536 | Sheng Ge | Dentist | 305 W Fayette St Apt 1401, Baltimore, MD 21201-3467 | 2020-07-31 |
| 1619590668 | Gaithersburg Ortho LLC | Dentist | 814 W Diamond Ave Ste 300, Gaithersburg, MD 20878-1448 | 2020-05-26 |
| 1043859119 | Orthoroks, LLC | Dentist | 100 Shawan Rd Ste E, Hunt Valley, MD 21030-1459 | 2020-01-06 |
| 1609412592 | Nuclear Smiles LLC | Dentist | 10100 Twin Rivers Rd Apt 121, Columbia, MD 21044-2578 | 2019-11-26 |
| 1194361519 | Mary C. Trahar, Dds, Pa | Dentist | 52 Denton Plz, Denton, MD 21629-9501 | 2019-11-20 |
| 1376187336 | Chevy Chase Orthodontics | Dentist | 8401 Connecticut Ave Ste 620, Chevy Chase, MD 20815-5803 | 2019-11-03 |
| 1003465477 | Meghan Mcinnes Palmer | Dentist | 8322 Bellona Ave Ste 310, Towson, MD 21204-2077 | 2019-09-09 |
| 1245716232 | Tj Orthodontics | Dentist | 198 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4432 | 2018-07-13 |
| 1275028326 | John William Serino | Dentist | 538 Cynwood Dr Ste 1, Easton, MD 21601-3887 | 2018-06-29 |
| 1487146353 | Christopher Jason Scott | Dentist | 10045 Baltimore National Pike Ste A1, Ellicott City, MD 21042-3673 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.