Individual provider Active NPI

Samia Nikkhah, DDS

  • Dentist
  • North Bethesda, MD
National Provider Identifier
1316297708
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15194 Issued in MD
Practice address
11400 Rockville Pike
Suite # 510
North Bethesda, MD 20852-3004
Phone
(301) 979-9071
Fax
(301) 979-9271
NPI assigned
Sep 13, 2012
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 15194 MD Primary

Addresses

Primary practice location

11400 Rockville Pike
Suite # 510
North Bethesda, MD 20852-3004

Mailing address

11400 Rockville Pike
Suite#510
North Bethesda, MD 20852-3004
Phone (301) 979-9071

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
15194MDMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Samia Nikkhah, DDS, LLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

11400 Rockville Pike
Ste 106
Rockville, MD 20852
Phone (301) 979-9071

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1316297708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE",
            "address_2": "SUITE#510",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523004",
            "telephone_number": "301-979-9071",
            "fax_number": "301-979-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE",
            "address_2": "SUITE # 510",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523004",
            "telephone_number": "301-979-9071",
            "fax_number": "301-979-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKKHAH",
        "first_name": "SAMIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

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