Katayoun D Ghajarnia, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14652 Issued in MD

Practice address

1286 Maryland RT 3 S Ste 7
Crofton, MD 21114-1340

Phone

(410) 721-8200

Fax

(410) 721-7629

NPI assigned

Jul 27, 2010

Sex

Female

Sole proprietor

No

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ulery Dental and Orthodontics

  • Dentist
  • Glen Burnie, MD
  • NPI 1235721903
  NPD (past)
• Ulery Dental and Orthodontics

  • Dentist
  • Pasadena, MD
  • NPI 1447842117
  NPD (past)
• Ulery Dental and Orthodontics

  • Dentist
  • Laurel, MD
  • NPI 1821680596
  NPD (past)
• Ulery Dental and Orthodontics

  • Dentist
  • Dundalk, MD
  • NPI 1952993628
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1275847618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 GREAT POND DR STE 2003",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147244",
            "telephone_number": "407-772-5124",
            "fax_number": "407-788-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 MARYLAND RT 3 S STE 7",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141340",
            "telephone_number": "410-721-8200",
            "fax_number": "410-721-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAJARNIA",
        "first_name": "KATAYOUN",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038309",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah E Gammill
• Kaylyn Nicole Garcia, RBT
• Oliver Garver
• Genuine Lactation, LLC
• Arisa George
• Giant of Maryland LLC
• Anais Claire Gillian, MS, LCPC, LPC
• Jackie L. Gilliard, M.D.
• Michael H Gillooly, LCSW-C
• Kenneth Warren Gilstein, PH.D.

• General Practice Dentistry in Crofton, MD
• Providers in Crofton, 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 Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.