Organization Active NPI

Hagigi Dental Associates PC

  • Dental Clinic/Center
  • Rockville, MD
National Provider Identifier
1063968964
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
16095 Issued in MD
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Dr. Mark Hagigi, DDSNPI 1023272325
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.