Active NPI
Hagigi Dental Associates PC
- Dental Clinic/Center
- Rockville, MD
National Provider Identifier
1063968964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 16095
- Legal business name
- HAGIGI DENTAL ASSOCIATES PC
- Practice address
- 15200 Shady Grove Rd Ste 208
Rockville, MD 20850-6291 - Phone
- (301) 869-2600
- NPI assigned
- Aug 30, 2016
- Last updated
- May 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Hagigi, DDS
- Title
- President
- Phone
- (347) 420-9490
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 16095 | MD | Primary |
Addresses
Primary practice location
15200 Shady Grove Rd Ste 208
Rockville, MD 20850-6291
Mailing address
15955 Frederick Rd Apt 1104
Rockville, MD 20855-2287
National Provider Directory
National Provider DirectoryLocations
15200 Shady Grove Rd
Ste 208
Rockville, MD 20850
Phone (301) 869-2600
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.
-
- Dentist
- Rockville, MD
- NPI 1023272325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1063968964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15955 FREDERICK RD APT 1104",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208552287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 SHADY GROVE RD STE 208",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506291",
"telephone_number": "301-869-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAGIGI DENTAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-30",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "HAGIGI",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-420-9490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MD",
"license": "16095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.