NPIMap

Organization Active NPI

Kindermender Laurel

  • Urgent Care Clinic/Center
  • Laurel, MD
National Provider Identifier
1275870669
Registry record updated Jan 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KINDERMENDER LAUREL
Practice address
805 Washington Blvd S Ste a
Laurel, MD 20707-4611
Phone
(443) 492-4000
NPI assigned
Jan 6, 2013
Last updated
Jan 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2013

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

Authorized official

Name
Dr. Keyvan RafeiNPI 1669417267
Title
Medical Director
Phone
(443) 492-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

805 Washington Blvd S Ste a
Laurel, MD 20707-4611

Mailing address

10609 Harpoon HL
C/O Keyvan Rafei
Columbia, MD 21044-4157
Phone (240) 506-0739

National Provider Directory

National Provider Directory

Locations

805 Washington Blvd S
Ste A
Laurel, MD 20707
Phone (443) 492-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357430400000",
    "number": "1275870669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 HARPOON HL",
            "address_2": "C/O KEYVAN RAFEI",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444157",
            "telephone_number": "240-506-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WASHINGTON BLVD S STE A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074611",
            "telephone_number": "443-492-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDERMENDER LAUREL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-06",
        "last_updated": "2013-01-06",
        "status": "A",
        "authorized_official_last_name": "RAFEI",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-492-4000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; 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.