Active NPI
Mohamed Elnadi, DDS
- Dentist
- Salisbury, MD
National Provider Identifier
1164727145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14753
- Practice address
- 3019 Merritt Mill Rd
Salisbury, MD 21804-1407 - Phone
- (410) 219-3366
- NPI assigned
- Jan 21, 2011
- Sex
- Male
- 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 | 14753 | MD | Primary |
Addresses
Primary practice location
3019 Merritt Mill Rd
Salisbury, MD 21804-1407
Mailing address
27191 Scotland Pkwy
Salisbury, MD 21801-2437
Phone (240) 328-8761
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 |
|---|---|---|---|
| 14753 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1164727145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27191 SCOTLAND PKWY",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218012437",
"telephone_number": "240-328-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 MERRITT MILL RD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041407",
"telephone_number": "410-219-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELNADI",
"first_name": "MOHAMED",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.