NPIMap

Organization Active NPI

Smiles R US at Dundalk P C

  • Dentist
  • Dundalk, MD
National Provider Identifier
1093163115
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14116 Issued in MD
Legal business name
SMILES R US AT DUNDALK P C
Practice address
1794 A. Merritt Blvd
Dundalk, MD 21222-3212
Phone
(443) 621-2971
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Dr. Saman Radparvar
Title
Owner
Phone
(443) 621-2971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14116 MD Primary

Addresses

Primary practice location

1794 A. Merritt Blvd
Dundalk, MD 21222-3212

Mailing address

1794 Merritt Blvd
A
Dundalk, MD 21222-3212
Phone (443) 621-2971

Other names 1

  • smiles r us at dundalk p c Doing business as

National Provider Directory

National Provider Directory

Locations

1794 Merritt Blvd
#A
Dundalk, MD 21222
Phone (443) 621-2971

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1093163115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 MERRITT BLVD",
            "address_2": "A",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223212",
            "telephone_number": "443-621-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 A. MERRITT BLVD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223212",
            "telephone_number": "443-621-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES R US AT DUNDALK P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "RADPARVAR",
        "authorized_official_first_name": "SAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-621-2971",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "14116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "smiles r us at dundalk p c",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.