NPIMap

Organization Active NPI

MRN, Inc.

  • General Practice Dentistry
  • Columbia, MD
National Provider Identifier
1013306893
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14871 Issued in MD
Legal business name
MRN, INC.
Practice address
10630 Little Patuxent Pkwy Ste 100
Columbia, MD 21044-6220
Phone
(410) 730-8330
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. Mohammadreza Nabavi, DDS
Title
Doctor/Owner
Phone
(301) 221-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14871 MD Primary

Addresses

Primary practice location

10630 Little Patuxent Pkwy Ste 100
Columbia, MD 21044-6220

Mailing address

10630 Little Patuxent Pkwy
Columbia, MD 21044-3264
Phone (410) 730-8330

National Provider Directory

National Provider Directory

Locations

10630 Little Patuxent Pkwy
Ste 100
Columbia, MD 21044
Phone (410) 730-8330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1013306893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443264",
            "telephone_number": "410-730-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446220",
            "telephone_number": "410-730-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "NABAVI",
        "authorized_official_first_name": "MOHAMMADREZA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "301-221-0161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.