Kambiz Fotoohi, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

11569 Issued in MD

Practice address

5550 Friendship Blvd
Suite 230
Chevy Chase, MD 20815-7256

Phone

(301) 652-5666

Fax

(301) 652-5655

NPI assigned

Jun 20, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1255627147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 FRIENSHIP BOULEVARD",
            "address_2": "SUITE 230",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-652-5666",
            "fax_number": "301-652-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD",
            "address_2": "SUITE 230",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157256",
            "telephone_number": "301-652-5666",
            "fax_number": "301-652-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTOOHI",
        "first_name": "KAMBIZ",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "11569",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "DC",
            "license": "5618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Ben Forman, PH.D.
• Pamela Mills Forman, PH.D.
• Rebecca Lynn Sanda Fornaciari, LCPC
• Taryn Fortune, M.D.
• Scott Fournier-Eaton, PT, DPT
• Vivian M Fraga, M.D.
• Anna Maria Francis, PH.D.
• Frank C. Blackburn, M.D., LLC
• Burcin Uygungil Fraser, M.D./M.P.H.

• Prosthodontics in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Prosthodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.