Roghieh Atapour, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12619 Issued in MD

Practice address

9520 Berger Rd Ste 105
Columbia, MD 21046-1554

Phone

(410) 730-6666

Fax

(410) 730-3501

NPI assigned

Mar 9, 2007

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Model Dental Clinic

  • General Practice Dentistry
  • Columbia, MD
  • NPI 1548392152
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1003948704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 BERGER RD",
            "address_2": "STE 105",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461554",
            "telephone_number": "410-730-6666",
            "fax_number": "410-730-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 BERGER RD STE 105",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461554",
            "telephone_number": "410-730-6666",
            "fax_number": "410-730-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9520 BERGER RD",
            "address_2": "STE 105",
            "address_purpose": "LOCATION",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461554",
            "country_code": "US",
            "telephone_number": "410-730-6666",
            "fax_number": "410-730-3501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATAPOUR",
        "first_name": "ROGHIEH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dominique Atkins

• General Practice Dentistry in Columbia, MD
• Providers in Columbia, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.