NPIMap

Organization Active NPI

Overlea Dental Inc.

Doing business as Tooth Fairy Spa

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1225757222
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OVERLEA DENTAL INC.
Doing business as
Tooth Fairy Spa
Practice address
6411 Belair Rd
Baltimore, MD 21206-1822
Phone
(410) 254-8624
Fax
(410) 254-8670
NPI assigned
Aug 23, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Sheida Nakhaei, DDSNPI 1356495246
Title
Owner
Phone
(410) 254-8624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6411 Belair Rd
Baltimore, MD 21206-1822

Mailing address

6411 Belair Rd
Baltimore, MD 21206-1822
Phone (410) 254-8624

Other names 1

  • Tooth Fairy Spa Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@toothfairyspa.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

6411 Belair Rd
Baltimore, MD 21206
Phone (410) 254-8624

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1225757222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061822",
            "telephone_number": "410-254-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061822",
            "telephone_number": "410-254-8624",
            "fax_number": "410-254-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLEA DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "NAKHAEI",
        "authorized_official_first_name": "SHEIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-254-8624",
        "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": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@toothfairyspa.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6411 Belair Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212061822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tooth Fairy Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.