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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Baltimore, MD
- NPI 1366681199
NPI 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.