Active NPI
Rosemary Baghdassarian, DDS
- General Practice Dentistry
- Greensboro, NC
National Provider Identifier
1184846867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12608
- Practice address
- 5923 W Friendly Ave Ste a
Greensboro, NC 27410-3207 - Phone
- (336) 632-0744
- Fax
- (336) 632-0754
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN14712 | FL | |
| General Practice Dentistry | 1223G0001X | 12608 | NC | Primary |
Addresses
Primary practice location
5923 W Friendly Ave Ste a
Greensboro, NC 27410-3207
Mailing address
5923 W Friendly Ave Ste a
Greensboro, NC 27410-3207
Phone (336) 632-0744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230614000257 | NC | Order and Referring Only - Dentist | 3870670383 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14712 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hab Boca Raton | Dentist | Current | Accepting new patients |
| Lane and Associates L DDS PA | Dentist | Past | Accepting new patients |
Locations
12453 Hagen Ranch Rd
Unit 101
Boynton Beach, FL 33437
Phone (561) 221-0450
Networks
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Boca Raton, FL
- NPI 1922575885
-
- Dentist
- Greensboro, NC
- NPI 1841987229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1184846867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5923 W FRIENDLY AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274103207",
"telephone_number": "336-632-0744",
"fax_number": "336-632-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5923 W FRIENDLY AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274103207",
"telephone_number": "336-632-0744",
"fax_number": "336-632-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHDASSARIAN",
"first_name": "ROSEMARY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN14712",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "12608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.