Seyedeh Pegah Ghiasi Afjeh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15675 Issued in MD

Practice address

10828 Harford Rd
Glen Arm, MD 21057-9232

Phone

(301) 906-6076

NPI assigned

Jun 6, 2015

Last updated

Jun 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433548800000",
    "number": "1265812093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 HARFORD RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 HARFORD RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579232",
            "telephone_number": "301-906-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIASI AFJEH",
        "first_name": "SEYEDEH PEGAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-06",
        "last_updated": "2015-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Connelly, OTR/L
• Samantha Cromwell, RD, LDN, CDCES
• Barrie Renee Davis, P.T.
• Tracy Diamond-Cromwell, LCSW-C
• Kathleen Marie Eiseman-Brock, MSW, LCSW-C
• Haystack Health and Wellness LLC
• Healthpro Heritage Rehab & Fitness, LLC
• Jayne Heck Hackley, MS, OTR/L
• Homeworks RM, LLC
• Jennifer Inocencio

• General Practice Dentistry in Glen Arm, MD
• Providers in Glen Arm, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2015; 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.