NPIMap

Organization Active NPI

Homayoun Vazan DDS.LLC

  • Dental Clinic/Center
  • Greenbelt, MD
National Provider Identifier
1063802866
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11865 Issued in MD
Legal business name
HOMAYOUN VAZAN DDS.LLC
Practice address
7209 Hanover Pkwy Ste B
Greenbelt, MD 20770-2016
Phone
(301) 446-0100
NPI assigned
Jan 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Authorized official

Name
Dr. Homayoun Vazan, D.D.SNPI 1982759486
Title
President
Phone
(301) 446-0100

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
Dental Clinic/Center 261QD0000X 11865 MD Primary

Addresses

Primary practice location

7209 Hanover Pkwy Ste B
Greenbelt, MD 20770-2016

Mailing address

7209 Hanover Pkwy Ste B
Greenbelt, MD 20770-2016
Phone (301) 446-0100

National Provider Directory

National Provider Directory

Locations

7209 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 446-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1063802866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 HANOVER PKWY STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702016",
            "telephone_number": "301-446-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 HANOVER PKWY STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702016",
            "telephone_number": "301-446-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMAYOUN VAZAN DDS.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "VAZAN",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-446-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "11865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.