Individual provider Active NPI

Parastoo Golestani, DDS

  • General Practice Dentistry
  • Germantown, MD
National Provider Identifier
1366504268
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11883 Issued in MD
Practice address
20010 Century Blvd Ste 100
Germantown, MD 20874-1118
Phone
(703) 433-0234
Fax
(703) 433-0598
NPI assigned
Dec 15, 2006
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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 11883 MD Primary

Addresses

Primary practice location

20010 Century Blvd Ste 100
Germantown, MD 20874-1118

Mailing address

20010 Century Blvd Ste 100
Germantown, MD 20874-1118
Phone (301) 972-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202001087 DC Practitioner - Dentist 5799157624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinic, Inc CurrentSince Dec 1, 2022 Accepting new patients
Community Clinic, Inc. General Practice CurrentSince Dec 1, 2022 Accepting new patients
P. Golestani DDS, LLC General Practice Past Accepting new patients

Locations

220 Girard St
Ste 100
Gaithersburg, MD 20877
Phone (301) 216-0880

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

Organizations & group practices 4

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1366504268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20010 CENTURY BLVD STE 100",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741118",
            "telephone_number": "301-972-1600",
            "fax_number": "301-972-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20010 CENTURY BLVD STE 100",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741118",
            "telephone_number": "703-433-0234",
            "fax_number": "703-433-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLESTANI",
        "first_name": "PARASTOO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.