Active NPI
Shahrzad Bahrami, RDH
- Dental Hygienist
- Germantown, MD
National Provider Identifier
1043604143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 6652
- Practice address
- 19308 Moon Ridge Dr
Germantown, MD 20876-1743 - Phone
- (240) 476-7130
- NPI assigned
- Mar 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 6652 | MD | Primary |
Addresses
Primary practice location
19308 Moon Ridge Dr
Germantown, MD 20876-1743
Mailing address
19308 Moon Ridge Dr
Germantown, MD 20876-1743
Phone (240) 476-7130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6652 | MD | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1043604143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19308 MOON RIDGE DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208761743",
"telephone_number": "240-476-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19308 MOON RIDGE DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208761743",
"telephone_number": "240-476-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHRAMI",
"first_name": "SHAHRZAD",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "6652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.