NPIMap

Organization Active NPI

Sasan Moghaddame-Jafari Ms DDS PA

  • Endodontics
  • Rockville, MD
National Provider Identifier
1306009550
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
13190 Issued in MD
Legal business name
SASAN MOGHADDAME-JAFARI MS DDS PA
Practice address
11921 Rockville Pike
405
Rockville, MD 20852-2737
Phone
(301) 984-3636
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Sasan Moghaddame-JafariNPI 1245383710
Title
President
Phone
(301) 984-3636

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 13190 MD Primary

Addresses

Primary practice location

11921 Rockville Pike
405
Rockville, MD 20852-2737

Mailing address

11921 Rockville Pike
405
Rockville, MD 20852-2737

National Provider Directory

National Provider Directory

Locations

11921 Rockville Pike
Ste 405
Rockville, MD 20852
Phone (301) 984-3636

Practitioners & affiliated clinicians

Practitioners 1

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": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1306009550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 ROCKVILLE PIKE",
            "address_2": "405",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 ROCKVILLE PIKE",
            "address_2": "405",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522737",
            "telephone_number": "301-984-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASAN MOGHADDAME-JAFARI MS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MOGHADDAME-JAFARI",
        "authorized_official_first_name": "SASAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-984-3636"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "13190",
            "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 Jul 8, 2008; 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.