NPIMap

Organization Active NPI

Razzaq Dental

  • Dental Clinic/Center
  • Laurel, MD
National Provider Identifier
1093488066
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAZZAQ DENTAL
Practice address
13916 Baltimore Ave
Laurel, MD 20707-5009
Phone
(301) 498-6511
NPI assigned
Jul 27, 2021
Organization subpart
Yes
Parent organization
PATUXENT RIVER DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Fatima SyedaNPI 1164688313
Title
Owner
Phone
(301) 498-6511

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

13916 Baltimore Ave
Laurel, MD 20707-5009

Mailing address

13916 Baltimore Ave
Laurel, MD 20707-5009

National Provider Directory

National Provider Directory
Part of
Razzaq Dental

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": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1093488066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13916 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13916 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075009",
            "telephone_number": "301-498-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZZAQ DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATUXENT RIVER DENTAL CARE",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "SYEDA",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-498-6511"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

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