Individual provider Active NPI

Raheleh Makhmalbaf, D.M.D

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1083846935
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14603 Issued in MD
Practice address
9093 Ridgefield Dr
Suite 203
Frederick, MD 21701-6710
Phone
(301) 624-1001
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14603 MD Primary

Addresses

Primary practice location

9093 Ridgefield Dr
Suite 203
Frederick, MD 21701-6710

Mailing address

9093 Ridgefield Dr
Suite 203
Frederick, MD 21701-6710
Phone (301) 624-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14603MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Raheleh Makhmalbaf DMD LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1083846935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016710",
            "telephone_number": "301-624-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016710",
            "telephone_number": "301-624-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHMALBAF",
        "first_name": "RAHELEH",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.