NPIMap

Organization Active NPI

Behnaz Bagheri D.D.S. PC

  • Dental Clinic/Center
  • Catonsville, MD
National Provider Identifier
1326219221
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13702 Issued in MD
Legal business name
BEHNAZ BAGHERI D.D.S. PC
Practice address
300 Frederick Rd
Suite # 101
Catonsville, MD 21228-4665
Phone
(410) 788-1200
Fax
(443) 830-1495
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Sam Jalali
Title
Office Manager
Phone
(410) 917-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 13702 MD Primary

Addresses

Primary practice location

300 Frederick Rd
Suite # 101
Catonsville, MD 21228-4665

Mailing address

300 Frederick Rd
Suite # 101
Catonsville, MD 21228-4665
Phone (410) 788-1200

Other names 1

  • Behnaz Bagheri D.D.S. PC Other name

National Provider Directory

National Provider Directory
Tax ID family
Behnaz Bagheri DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Frederick Rd
Ste 101
Catonsville, MD 21228
Phone (410) 788-1200

Practitioners & affiliated clinicians

Practitioners 4

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1326219221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FREDERICK RD",
            "address_2": "SUITE # 101",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284665",
            "telephone_number": "410-788-1200",
            "fax_number": "443-830-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FREDERICK RD",
            "address_2": "SUITE # 101",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284665",
            "telephone_number": "410-788-1200",
            "fax_number": "443-830-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHNAZ BAGHERI D.D.S. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "JALALI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-917-3013"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "13702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behnaz Bagheri D.D.S. PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.