NPIMap

Organization Active NPI

Kourosh Mehrabian DDS & Associates

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1164264677
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOUROSH MEHRABIAN DDS & ASSOCIATES
Practice address
1725 Eastern Ave
Baltimore, MD 21231
Phone
(240) 667-7615
Fax
(301) 608-9331
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Kourosh Mehrabian, D.D.S
Title
Ceo
Phone
(240) 667-7615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1725 Eastern Ave
Baltimore, MD 21231

Mailing address

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1164264677",
    "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": "1725 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21231",
            "telephone_number": "240-667-7615",
            "fax_number": "301-608-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH MEHRABIAN DDS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "MEHRABIAN",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-667-7615",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

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