Individual provider Active NPI

Behnam Manesh, DDS

  • Dentist
  • Rockville, MD
National Provider Identifier
1295811487
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11469 Issued in MD
Practice address
5542 Norbeck Rd
Rockville, MD 20853
Phone
(301) 460-5000
Fax
(301) 460-5882
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11469 MD Primary

Addresses

Primary practice location

5542 Norbeck Rd
Rockville, MD 20853

Mailing address

20528 Boland Farm Rd
Suite #212
Germantown, MD 20876
Phone (301) 972-4400

Other names 1

  • Ben Manesh Other name

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
11469MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Manesh DDS VIII LLC Current Accepting new patients
Ben Manesh DDS VII LLC CurrentSince May 10, 2020 Accepting new patients
Ben Manesh DDS VI PC Dentist Past Accepting new patients
Rock Creek Dental Center Past Accepting new patients

Locations

237 Kentlands Blvd
Gaithersburg, MD 20878
Phone (301) 987-5200

19851 Observation Dr
Ste 355
Germantown, MD 20876
Phone (301) 799-2000

Organizations & group practices 4

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1295811487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD",
            "address_2": "SUITE #212",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20876",
            "telephone_number": "301-972-4400",
            "fax_number": "301-972-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5542 NORBECK RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20853",
            "telephone_number": "301-460-5000",
            "fax_number": "301-460-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESH",
        "first_name": "BEHNAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "MANESH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 14, 2016; 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.