Individual provider Active NPI

Umar Shahbaz, DMD

  • Dentist
  • Rosedale, MD
National Provider Identifier
1275207474
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17549 Issued in MD
Practice address
9110 Philadelphia Rd Ste 214
Rosedale, MD 21237-4325
Phone
(410) 780-0120
Fax
(443) 495-6070
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17549 MD Primary

Addresses

Primary practice location

9110 Philadelphia Rd Ste 214
Rosedale, MD 21237-4325

Mailing address

6016 Duvalls Forest Dr
Frederick, MD 21701-3588
Phone (443) 736-0312

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

State licenses

LicenseStateTypeSpecialty
17549MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Umar Shahbaz, DMD, LLC CurrentSince Jul 10, 2022 Accepting new patients
Duckett Dental Associates Past Accepting new patients

Locations

9110 Philadelphia Rd
Ste 214
Rosedale, MD 21237
Phone (410) 780-0120

Organizations & group practices 2

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1275207474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 DUVALLS FOREST DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013588",
            "telephone_number": "443-736-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD STE 214",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374325",
            "telephone_number": "410-780-0120",
            "fax_number": "443-495-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAZ",
        "first_name": "UMAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.