OrganizationActive
Ortho Suite LLC
NPI 1013596964 · Orthodontics and Dentofacial Orthopedics Dentistry · Bethesda, MD
Provider details
- NPI number
- 1013596964
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Derek Blank, President(949) 302-5146
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5642 Shields Dr
Bethesda, MD 20817-3573
Phone: (301) 363-9026
Street-level locationGet directions
Mailing address
5642 Shields Dr
Bethesda, MD 20817-3573
Registry dates
- Enumerated
- 2021-04-07
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.