Individual provider Active NPI

Behnam Majd, DDS

  • General Practice Dentistry
  • College Park, MD
National Provider Identifier
1366090557
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17009 Issued in MD
Practice address
7307 Baltimore Ave Ste 114
College Park, MD 20740-3231
Phone
(443) 345-8105
NPI assigned
Aug 30, 2019
Sex
Male
Sole proprietor
Yes

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
17009MDMDGeneral Practice Dentistry

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17009 MD Primary

Addresses

Primary practice location

7307 Baltimore Ave Ste 114
College Park, MD 20740-3231

Mailing address

7307 Baltimore Ave Ste 114
College Park, MD 20740-3231
Phone (443) 345-8105

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1366090557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 BALTIMORE AVE STE 114",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403231",
            "telephone_number": "443-345-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 BALTIMORE AVE STE 114",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403231",
            "telephone_number": "443-345-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJD",
        "first_name": "BEHNAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.