Individual provider Active NPI

Golnar Jahanmir, DDS

  • Pediatric Dentistry
  • Rockville, MD
National Provider Identifier
1184794562
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
13171 Issued in MD
Practice address
9210 Corporate Blvd Ste 430
Rockville, MD 20850-6259
Phone
(301) 990-0892
NPI assigned
Nov 9, 2006
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DEN1000383 DC
Pediatric Dentistry 1223P0221X 0401411614 VA
Pediatric Dentistry 1223P0221X 13171 MD Primary

Addresses

Primary practice location

9210 Corporate Blvd Ste 430
Rockville, MD 20850-6259

Mailing address

Nih/Nidcr Dental Clinic
10 Center Drive, BLDG 10, RM 1B15
Bethesda, MD 20892-6259
Phone (301) 443-8010

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

LicenseStateTypeSpecialty
13171MDMDClinical Social Worker
DEN1000383DCMDPediatric Dentist
0401411614VAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1184794562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NIH/NIDCR DENTAL CLINIC",
            "address_2": "10 CENTER DRIVE, BLDG 10, RM 1B15",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208926259",
            "telephone_number": "301-443-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 CORPORATE BLVD STE 430",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506259",
            "telephone_number": "301-990-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHANMIR",
        "first_name": "GOLNAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN1000383",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401411614",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "13171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.