Holleh Tajalli, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

15974 Issued in MD

Practice address

1030 S Linwood Ave Unit 200
Baltimore, MD 21224-5091

Phone

(410) 921-0097

NPI assigned

Jun 7, 2016

Last updated

Oct 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holleh Tajalli DDS LLC

  • Dental Clinic/Center
  • Baltimore, MD
  • NPI 1598262776
  NPD (past) Authorized official

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1215386529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S LINWOOD AVE UNIT 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245091",
            "telephone_number": "410-921-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S LINWOOD AVE UNIT 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245091",
            "telephone_number": "410-921-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJALLI",
        "first_name": "HOLLEH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Taing
• Noel Tait, DDS
• Marian Toluwalope Taiwo, MD
• Omowunmi A Taiwo
• Faria Nasim Taj, MD
• Masih Tajdini, MD
• Rachell Tajerstein, LCSWC
• Sheldon Tajerstein, DPM
• Nafisa Tajir, M.D.
• Kenneth Chabejah Tajong, RPH

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.

Verify at the official NPI Registry.