Organization Active NPI

Reza Tafrishi D.D.S.,P.C.

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1043986078
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REZA TAFRISHI D.D.S.,P.C.
Practice address
1010 S Northpoint Rd
Baltimore, MD 21224-3307
Phone
(410) 282-5561
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Reza Tafrishi, DDSNPI 1689834806
Title
President
Phone
(240) 505-0429

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1010 S Northpoint Rd
Baltimore, MD 21224-3307

Mailing address

11666 Farside Rd
Ellicott City, MD 21042-1532
Phone (240) 505-0429

Other names 1

  • East Point Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dundalk Family Dentistry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1010 S North Point Rd
Baltimore, MD 21224
Phone (410) 282-5561

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1043986078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11666 FARSIDE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421532",
            "telephone_number": "240-505-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S NORTHPOINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243307",
            "telephone_number": "410-282-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA TAFRISHI D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "TAFRISHI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-505-0429",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Point Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.