Active NPI
Siamak Sy Majidi, DDS
- Pediatric Dentistry
- Washington, DC
National Provider Identifier
1003041328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 14345
- Practice address
- 3239 N St NW Apt 12
Washington, DC 20007-2834 - Phone
- (240) 418-6103
- NPI assigned
- May 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN1000816 | DC | |
| Pediatric Dentistry | 1223P0221X | 0401412530 | VA | |
| Pediatric Dentistry | 1223P0221X | 14345 | MD | Primary |
Addresses
Primary practice location
3239 N St NW Apt 12
Washington, DC 20007-2834
Mailing address
3239 N St NW Apt 12
Washington, DC 20007-2834
Phone (240) 418-6103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023907100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14345 | MD | MD | Social Worker |
| DEN1000816 | DC | MD | Pediatric Dentist |
| 0401412530 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Dental Surgery & Hospital Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Washington, DC
- NPI 1235560350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1003041328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3239 N ST NW APT 12",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072834",
"telephone_number": "240-418-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3239 N ST NW APT 12",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072834",
"telephone_number": "240-418-6103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJIDI",
"first_name": "SIAMAK",
"middle_name": "SY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-17",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "DC",
"license": "DEN1000816",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401412530",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "14345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023907100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.