Active NPI
Golnar Jahanmir, DDS
- Pediatric Dentistry
- Rockville, MD
National Provider Identifier
1184794562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13171
- Practice address
- 9210 Corporate Blvd Ste 430
Rockville, MD 20850-6259 - Phone
- (301) 990-0892
- NPI assigned
- Nov 9, 2006
- Last updated
- Jun 30, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13171 | MD | MD | Clinical Social Worker |
| DEN1000383 | DC | MD | Pediatric Dentist |
| 0401411614 | VA | MD | Pediatric 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.