NPIMap

Organization Active NPI

Modern Dentistry 1 LLC

  • General Practice Dentistry
  • Pasadena, MD
National Provider Identifier
1265293732
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MODERN DENTISTRY 1 LLC
Doing business as
Sunrise Dental Studio
Practice address
8352 Ritchie Hwy
Pasadena, MD 21122-3944
Phone
(410) 647-3595
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Dr. Afshin Nateghi, DDSNPI 1891281549
Title
Dentist
Phone
(669) 237-5910

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

8352 Ritchie Hwy
Pasadena, MD 21122-3944

Mailing address

6044 Loganwood Dr
Rockville, MD 20852-3459

Other names 1

  • Sunrise Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

8352 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 647-3595

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1265293732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 LOGANWOOD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211223944",
            "telephone_number": "410-647-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTISTRY 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "NATEGHI",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "669-237-5910",
        "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": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.