Mitra Madani, D.D.S, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MITRA MADANI, D.D.S, LLC

Doing business as

Bayside Family Dentistry

Practice address

517 Benfield Rd Ste 204
Severna Park, MD 21146-2540

Phone

(410) 647-7050

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Mitra MadaniNPI 1174678718

Title

Dentist

Phone

(410) 647-7050

Specialties & licenses 1

Addresses

Other names 1

• Bayside Family Dentistry Doing business as

Locations

Practitioners 2

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

• Mitra Madani, D.D.S.

  • General Practice Dentistry
  • Severna Park, MD
  • NPI 1174678718
  NPD Authorized official
• Michael H Allen, DMD

  • General Practice Dentistry
  • Severna Park, MD
  • NPI 1861548810
  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1023602695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 BENFIELD RD STE 204",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462540",
            "telephone_number": "410-647-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 BENFIELD RD STE 204",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462540",
            "telephone_number": "410-647-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITRA MADANI, D.D.S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "MADANI",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-647-7050"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauri Palmer Miller, LCSW-C
• William W. Kendall Miller III, D.D.S., M.S., P.A.
• Heather C Min, O.D.
• Virginia Ann Mitchell
• George Miteff
• Danielle Mitsch, PMHNP-BC
• MNR Industries, LLC (ExpressCare of Severna Park)
• Mollie M Davis MD, LLC (MD Med-Peds)
• Gayle Monaghan, OTR/L
• Nancy Joan Moonstarr, PHD & LPC

• Durable Medical Equipment & Medical Supplies in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.