NPIMap

Organization Active NPI

Maryland Dental Center

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1154657344
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARYLAND DENTAL CENTER
Doing business as
Maryland Dental Center
Practice address
8120 Fenton St
Suite 100
Silver Spring, MD 20910
Phone
(301) 608-9800
Fax
(301) 608-9331
NPI assigned
Oct 23, 2009
Last updated
May 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Kourosh Mehrabian, DDSNPI 1407990252
Title
President
Phone
(301) 608-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8120 Fenton St
Suite 100
Silver Spring, MD 20910

Mailing address

8120 Fenton St
Suite 100
Silver Spring, MD 20910
Phone (240) 667-7615

Other practice location 1

1725 Eastern Ave
Baltimore, MD 21231-2573
Phone (301) 608-9800

Other practice location 2

923 Russell Ave Ste A
Gaithersburg, MD 20879-6224
Phone (301) 608-9800

Other identifiers 1

IdentifierTypeStateIssuer
083242223MedicaidMD

Other names 1

  • Maryland Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kourosh Mehrabian DDS Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1154657344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 FENTON ST",
            "address_2": "SUITE 100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "240-667-7615",
            "fax_number": "301-608-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 FENTON ST",
            "address_2": "SUITE 100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-608-9800",
            "fax_number": "301-608-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212312573",
            "country_code": "US",
            "telephone_number": "301-608-9800",
            "fax_number": "301-608-9331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "923 Russell Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208796224",
            "country_code": "US",
            "telephone_number": "301-608-9800",
            "fax_number": "301-608-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MEHRABIAN",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-608-9800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083242223",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.