NPIMap

Organization Active NPI

Just 4 Kidz Dentistry, LLC

  • Pediatric Dentistry
  • Rockville, MD
National Provider Identifier
1295385698
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JUST 4 KIDZ DENTISTRY, LLC
Practice address
12250 Rockville Pike Ste 200
Rockville, MD 20852-1669
Phone
(240) 503-8778
NPI assigned
Sep 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Reza Beheshti, DDSNPI 1518286731
Title
Owner
Phone
(202) 304-4400

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

12250 Rockville Pike Ste 200
Rockville, MD 20852-1669

Mailing address

12250 Rockville Pike Ste 200
Rockville, MD 20852-1669
Phone (240) 503-8778

National Provider Directory

National Provider Directory

Locations

12250 Rockville Pike
Ste 200
Rockville, MD 20852
Phone (240) 503-8778

Practitioners & affiliated clinicians

Practitioners 2

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": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1295385698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 ROCKVILLE PIKE STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521669",
            "telephone_number": "240-503-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 ROCKVILLE PIKE STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521669",
            "telephone_number": "240-503-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 KIDZ DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "BEHESHTI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-304-4400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.