CMS-1500 Box 24J / 33a • NPI
1932237385
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
122300000X (CMS C5)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
845 QUINCE ORCHARD BLVD STE H, GAITHERSBURG, MD, 20878
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1932237385 (OSSOB ABDILLAHI, DMD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1932237385 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | OSSOB ABDILLAHI, DMD |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 122300000X (Dentist) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 845 QUINCE ORCHARD BLVD STE H, GAITHERSBURG, MD, 20878 |
| Practice Telephone / Fax | Tel: (301) 527-2727 |
| Administrative Mailing Address | 849 QUINCE ORCHARD BLVD STE E, GAITHERSBURG, MD, 20878-1604 |
| Enumeration & Last Sync | Enumerated: 2007-02-28 | CMS Record Updated: 2018-07-30 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (122300000X)
What Does Taxonomy Code 122300000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (OSSOB ABDILLAHI, DMD)
Typical CPT / Diagnostic Procedures:- Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
- Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
- Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
- Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
122300000X — DentistPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: VA | License: 0401-413682 | Primary: Secondary |
122300000X — DentistPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: NY | License: 056518-1 | Primary: Secondary |
122300000X — DentistPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: PA | License: 039429 | Primary: Secondary |
122300000X — DentistPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: MD | License: 15289 | Primary: Yes (Primary) |
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