Individual provider Active NPI

Najmeh Sadat Esmaeilnejadganji, DMD

  • Periodontics
  • Fort Mill, SC
National Provider Identifier
1043735996
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10973 Issued in SC
Practice address
810 Brayden Pkwy Apt 109
Fort Mill, SC 29708-0198
Phone
(803) 810-1609
NPI assigned
Aug 11, 2017
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 7874 NE
Periodontics 1223P0300X 37671 TX
Periodontics 1223P0300X 14015 NC
Student in an Organized Health Care Education/Training Program 390200000X
Periodontics 1223P0300X 10973 SC Primary

Addresses

Primary practice location

810 Brayden Pkwy Apt 109
Fort Mill, SC 29708-0198

Mailing address

711 E Morehead St Apt 907
Charlotte, NC 28202-3567
Phone (617) 784-5509

Other practice location 1

780729 California Plz
Omaha, NE 68178-1527
Phone (617) 784-5509

Other practice location 2

9400 Westheimer Rd Ste 1
Houston, TX 77063-3468
Phone (713) 497-1163

Other practice location 3

8956 J M Keynes Dr Ste 500
Charlotte, NC 28262-8626
Phone (980) 890-7590

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

LicenseStateTypeSpecialty
37671TXMDPharmacist
14015NCMDPediatrics Physician
10973SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Mill Smiles Dentistry, PC CurrentSince Nov 17, 2024 Accepting new patients
Ali Shahrestani, D.M.D., PLLC PastSince May 22, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1043735996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E MOREHEAD ST APT 907",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023567",
            "telephone_number": "617-784-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BRAYDEN PKWY APT 109",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297080198",
            "telephone_number": "803-810-1609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780729 California Plz",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681781527",
            "country_code": "US",
            "telephone_number": "617-784-5509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Westheimer Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770633468",
            "country_code": "US",
            "telephone_number": "713-497-1163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8956 J M Keynes Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282628626",
            "country_code": "US",
            "telephone_number": "980-890-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESMAEILNEJADGANJI",
        "first_name": "NAJMEH SADAT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "7874",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "37671",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "14015",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "10973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.