Leila Seyedsalari, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15079 Issued in MD

Practice address

6666 Security Blvd
Gwynn Oak, MD 21207-4013

Phone

(410) 944-6666

NPI assigned

Jul 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Clinic, Inc.

  dba CCI Health Services

  • Federally Qualified Health Center (FQHC)
  • Takoma Park, MD
  • NPI 1790730281

  DC, General Practice

  Medicare reassignment NPD
• Community Clinic, Inc

  dba CCI Ora Glen Pharmacy

  • Community/Retail Pharmacy
  • Greenbelt, MD
  • NPI 1295560878
  NPD

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1063790129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 SECURITY BLVD",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 SECURITY BLVD",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074013",
            "telephone_number": "410-944-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYEDSALARI",
        "first_name": "LEILA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robinson Entities LLC
• Stacey Russell, LMSW
• Wanda Samuels-Jackson, LMSW
• Andrea Lynnette Samuels, D.C.
• Gibrilla Mustapha Sannoh, NP
• Jasmin Shabazz, CNA
• Jacob Elias Singer, LMSW
• Skyview Healthcare Systems
• Babajide Akanni Smith
• Beverly Carol Smith, LCSW

• General Practice Dentistry in Gwynn Oak, MD
• Providers in Gwynn Oak, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.