Organization Active NPI

Behnaz Bagheri DDS PC

  • Dental Clinic/Center
  • Baltimore, MD
National Provider Identifier
1245040971
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BEHNAZ BAGHERI DDS PC
Practice address
4100 N Charles St Ste 113
Baltimore, MD 21218-1026
Phone
(410) 788-1200
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Sam Jalali
Title
Office Manager
Phone
(410) 917-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4100 N Charles St Ste 113
Baltimore, MD 21218-1026

Mailing address

4100 N Charles St Ste 113
Baltimore, MD 21218-1026

National Provider Directory

National Provider Directory
Tax ID family
Behnaz Bagheri DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4100 N Charles St
Ste 113
Baltimore, MD 21218
Phone (410) 788-1200

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1245040971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N CHARLES ST STE 113",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N CHARLES ST STE 113",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181026",
            "telephone_number": "410-788-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHNAZ BAGHERI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "JALALI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-917-3013"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 14, 2025; 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.