NPIMap

Organization Active NPI

DMV Family Dentistry

  • Dental Clinic/Center
  • Waldorf, MD
National Provider Identifier
1043116551
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DMV FAMILY DENTISTRY
Practice address
11325 Pembrooke SQ Ste 116
Waldorf, MD 20603-4807
Phone
(615) 428-6572
NPI assigned
Oct 20, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Dr. Farzad Motamedi, DMDNPI 1952990681
Title
Owner
Phone
(240) 210-8640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11325 Pembrooke SQ Ste 116
Waldorf, MD 20603-4807

Mailing address

11325 Pembrooke SQ Ste 116
Waldorf, MD 20603-4807
Phone (240) 210-8640

National Provider Directory

National Provider Directory

Locations

11325 Pembrooke Sq
Ste 116
Waldorf, MD 20603

Practitioners & affiliated clinicians

Practitioners 1

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": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1043116551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 PEMBROOKE SQ STE 116",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034807",
            "telephone_number": "240-210-8640",
            "fax_number": "240-210-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 PEMBROOKE SQ STE 116",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034807",
            "telephone_number": "615-428-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMV FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "MOTAMEDI",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-210-8640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.