Individual provider Active NPI

Ali Sarkarzadeh, DDS

  • General Practice Dentistry
  • Rockville, MD
National Provider Identifier
1063535763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11907 Issued in MD
Practice address
1750 Rockville Pike
Suite 10
Rockville, MD 20852-1658
Phone
(301) 770-5400
Fax
(301) 770-6642
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11907 MD Primary

Addresses

Primary practice location

1750 Rockville Pike
Suite 10
Rockville, MD 20852-1658

Mailing address

1750 Rockville Pike
Suite 10
Rockville, MD 20852-1658
Phone (301) 770-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618000103 DC Order and Referring Only - DentistPractitioner - Dentist 6800107848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Sarkarzadeh DDS PC Past Accepting new patients
Ben Manesh DDS III PC General Practice Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063535763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 ROCKVILLE PIKE",
            "address_2": "SUITE 10",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521658",
            "telephone_number": "301-770-5400",
            "fax_number": "301-770-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ROCKVILLE PIKE",
            "address_2": "SUITE 10",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521658",
            "telephone_number": "301-770-5400",
            "fax_number": "301-770-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKARZADEH",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.