Individual provider Active NPI

Dipty Mahajan, DMD, PA

  • Dentist
  • Rockville, MD
National Provider Identifier
1255535886
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13815 Issued in MD
Practice address
9850 Key West Ave Ste 302
Rockville, MD 20850-3904
Phone
(301) 838-9300
Fax
(301) 838-9304
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13815 MD Primary

Addresses

Primary practice location

9850 Key West Ave Ste 302
Rockville, MD 20850-3904

Mailing address

16216 Coolidge Ave
Silver Spring, MD 20906-1204
Phone (240) 543-5495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13815MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dipty Mahajan DMD,PA General Practice CurrentSince Feb 18, 2024 Accepting new patients
Omega Dental Group LLC General Practice Current Accepting new patients
Arif Masood MSD, PC PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1255535886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 COOLIDGE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061204",
            "telephone_number": "240-543-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 KEY WEST AVE STE 302",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503904",
            "telephone_number": "301-838-9300",
            "fax_number": "301-838-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "DIPTY",
        "name_prefix": "Dr.",
        "credential": "DMD, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.