Fariba Rafizadeh, D.M.D. P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12428 Issued in MD

Legal business name

FARIBA RAFIZADEH, D.M.D. P.A.

Practice address

902 Wind River LN Ste 204
Gaithersburg, MD 20878-1977

Phone

(301) 948-5656

Fax

(301) 519-9164

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fariba Rafizadeh, D.M.D.NPI 1396974713

Title

Dentist Owner

Phone

(301) 948-5656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quince Orchard Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fariba Rafizadeh, D.M.D.

  • General Practice Dentistry
  • Gaithersburg, MD
  • NPI 1396974713
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366560716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 WIND RIVER LN STE 204",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781977",
            "telephone_number": "301-948-5656",
            "fax_number": "301-519-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WIND RIVER LN STE 204",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781977",
            "telephone_number": "301-948-5656",
            "fax_number": "301-519-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIBA RAFIZADEH, D.M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAFIZADEH",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "301-948-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE LICENSE",
            "identifier": "12428",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quince Orchard Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Services, Inc.
• Family Services, Inc.
• Family Sleep Services LLC
• Vickie Fang, O.D.
• Farhad Naseh MD PA
• Enrique I Farina, DMD
• Sylvia Farmer
• Jolie Farnum Badley, MSC, CCC
• Mary Elizabeth Farrar, PA-C
• Kathleen Frekko Farrell, M.D.

• Dental Clinic/Center in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.