NPIMap

Organization Active NPI

Advanced Endodontics Specialty Doctors

  • Endodontics
  • Rockville, MD
National Provider Identifier
1023510575
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
15275 Issued in MD
Legal business name
ADVANCED ENDODONTICS SPECIALTY DOCTORS
Practice address
5802 Hubbard Dr
Rockville, MD 20852-4818
Phone
(301) 984-3800
Fax
(301) 230-1293
NPI assigned
Mar 1, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Farah Assadipour, DMD
Title
Owner
Phone
(301) 984-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 15275 MD Primary

Addresses

Primary practice location

5802 Hubbard Dr
Rockville, MD 20852-4818

Mailing address

5802 Hubbard Dr
Rockville, MD 20852-4818
Phone (301) 984-3800

Other practice location 1

1899 L St NW Ste 300
Washington, DC 20036-3819
Phone (202) 659-2552

Other names 1

  • Farah Assadipour, DMD Former legal business name

National Provider Directory

National Provider Directory

Locations

1899 L St NW
Ste 300
Washington, DC 20036
Phone (202) 659-2552

5802 Hubbard Dr
Rockville, MD 20852
Phone (301) 984-3800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1023510575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 HUBBARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524818",
            "telephone_number": "301-984-3800",
            "fax_number": "301-230-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 HUBBARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524818",
            "telephone_number": "301-984-3800",
            "fax_number": "301-230-1293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1899 L St NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363819",
            "country_code": "US",
            "telephone_number": "202-659-2552",
            "fax_number": "202-466-8256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED ENDODONTICS SPECIALTY DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ASSADIPOUR",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-984-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "15275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farah Assadipour, DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.