Individual provider Active NPI

Samir B. Hishmeh, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Silver Spring, MD
National Provider Identifier
1336115351
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
07977 Issued in MD
Practice address
2415 Musgrove Rd
Suite 202
Silver Spring, MD 20904-5200
Phone
(301) 384-5700
Fax
(301) 384-5619
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 07977 MD Primary

Addresses

Primary practice location

2415 Musgrove Rd
Suite 202
Silver Spring, MD 20904-5200

Mailing address

2415 Musgrove Rd
Suite 202
Silver Spring, MD 20904-5200
Phone (301) 384-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 27, 2015 through Jul 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1336115351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "SUITE 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045200",
            "telephone_number": "301-384-5700",
            "fax_number": "301-384-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "SUITE 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045200",
            "telephone_number": "301-384-5700",
            "fax_number": "301-384-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISHMEH",
        "first_name": "SAMIR",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "07977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.