Active NPI
Sahba Sanami-Hesari
- Dentist
- College Park, MD
National Provider Identifier
1124513304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16496
- Practice address
- 7307 Baltimore Ave Ste 114
College Park, MD 20740-3231 - Phone
- (301) 985-9100
- NPI assigned
- Jun 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16496 | MD | Primary |
Addresses
Primary practice location
7307 Baltimore Ave Ste 114
College Park, MD 20740-3231
Mailing address
3143 Lindenwood LN
Fairfax, VA 22031-1915
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16496 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armin Dental, LLC | Past | Accepting new patients | |
| GD VA PLLC | Past | Accepting new patients | |
| Expert Smiles, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- College Park, MD
- NPI 1265156822
-
- General Practice Dentistry
- College Park, MD
- NPI 1760501233
-
- General Practice Dentistry
- Vienna, VA
- NPI 1871139519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1124513304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 LINDENWOOD LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7307 BALTIMORE AVE STE 114",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207403231",
"telephone_number": "301-985-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANAMI-HESARI",
"first_name": "SAHBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.