Active NPI
Simple Smile Dental LLC
- General Practice Dentistry
- Catonsville, MD
National Provider Identifier
1194569640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SIMPLE SMILE DENTAL LLC
- Practice address
- 405 Frederick Rd Ste 152
Catonsville, MD 21228-4655 - Phone
- (410) 777-9134
- NPI assigned
- Jun 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Payam Nourmand, DDS
- Title
- Agent
- Phone
- (443) 762-1470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
405 Frederick Rd Ste 152
Catonsville, MD 21228-4655
Mailing address
6510 Gardenwick Rd
Baltimore, MD 21209-2538
Phone (443) 762-1470
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1194569640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 GARDENWICK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092538",
"telephone_number": "443-762-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 FREDERICK RD STE 152",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284655",
"telephone_number": "410-777-9134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLE SMILE DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "NOURMAND",
"authorized_official_first_name": "PAYAM",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "443-762-1470",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.