NPIMap

Organization Active NPI

SB Enterprise LLC

  • Dental Clinic/Center
  • Rockville, MD
National Provider Identifier
1073369674
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SB ENTERPRISE LLC
Practice address
1101 Wootton Pkwy Ste 540
Rockville, MD 20852-1059
Phone
(301) 424-0088
Fax
(301) 424-0085
NPI assigned
Apr 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Dr. Shahram Bahrami, DDSNPI 1730666918
Title
Dentist
Phone
(240) 476-3729

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 Primary

Addresses

Primary practice location

1101 Wootton Pkwy Ste 540
Rockville, MD 20852-1059

Mailing address

1101 Wootton Pkwy Ste 540
Rockville, MD 20852-1059
Phone (301) 424-0088

National Provider Directory

National Provider Directory

Locations

1101 Wootton Pkwy
Ste 540
Rockville, MD 20852
Phone (301) 424-0088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1073369674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WOOTTON PKWY STE 540",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521059",
            "telephone_number": "301-424-0088",
            "fax_number": "301-424-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WOOTTON PKWY STE 540",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521059",
            "telephone_number": "301-424-0088",
            "fax_number": "301-424-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "BAHRAMI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "240-476-3729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Apr 25, 2024; 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.