KEROLOS MICHAEL (NPI# 1407246168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407246168 |
| Entity Type | Individual |
| Full Name | KEROLOS MICHAEL |
| Practice Address |
12520 Prosperity Dr Ste 340 Silver Spring MD 20904-1606 |
| Practice Telephone | 3013882420 |
| Mailing Telephone | 3013882420 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2018-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS040257 | PA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16379 | MD | Dental Providers |
| Street Address |
12520 PROSPERITY DR STE 340 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| 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 |
|---|---|---|---|---|
| 1114314333 | Robert Yu | Dentist | 13975 Connecticut Ave Ste 208, Silver Spring, MD 20906-2921 | 2015-04-26 |
| 1427492818 | Jean Hong | Dentist | 13321 New Hampshire Ave Ste 206, Silver Spring, MD 20904-3450 | 2013-04-29 |
| 1508019613 | Karlene-anne Hill | Dentist | 12316 New Hampshire Ave, Silver Spring, MD 20904-2956 | 2008-11-03 |
| 1528226560 | Marianne S. T. Siewe | Dentist | 2277 Bel Pre Rd Ste 206, Silver Spring, MD 20906-2201 | 2008-05-27 |
| 1740495696 | Dr. Martin L. Okun | Dentist | 12520 Prosperity Dr, Suite 340, Silver Spring, MD 20904-1664 | 2007-05-14 |
| 1710190541 | Scott Orthodontics | Dentist | 804 Pershing Dr, Suite 106, Silver Spring, MD 20910-4434 | 2007-05-08 |
| 1982743068 | Alireza Rajaei | Dentist | 14301 Layhill Rd Ste 102, Silver Spring, MD 20906-1937 | 2007-02-06 |
| 1972678910 | Rolland B Pincus | Dentist | 8630 Fenton Street Suite 117, Silver Spring, MD 20910 | 2006-11-22 |
| 1225116197 | K Hill Orthodontics LLC | Dentist | 12316 New Hampshire Avenue, Silver Spring, MD 20904 | 2006-11-01 |
| 1649283037 | Duane Charles Erickson | Dentist | 13321 New Hampshire Ave, Suite 206, Silver Spring, MD 20904-3450 | 2006-08-15 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
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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.