NPIMap

Organization Active NPI

En Dental, LLC

Doing business as Mishpacha Dental

  • Dentist
  • Pikesville, MD
National Provider Identifier
1386027514
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14008 Issued in MD
Legal business name
EN DENTAL, LLC
Doing business as
Mishpacha Dental
Practice address
3635 Old Court Rd
Ste. 510
Pikesville, MD 21208-3915
Phone
(410) 484-2717
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Payam Nourmand
Title
Dentist
Phone
(410) 484-2717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14008 MD Primary

Addresses

Primary practice location

3635 Old Court Rd
Ste. 510
Pikesville, MD 21208-3915

Mailing address

3635 Old Court Rd
Ste. 510
Pikesville, MD 21208-3915

Other identifiers 1

IdentifierTypeStateIssuer
021677100MedicaidMD

Other names 1

  • Mishpacha Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1386027514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD",
            "address_2": "STE. 510",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD",
            "address_2": "STE. 510",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083915",
            "telephone_number": "410-484-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "NOURMAND",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "410-484-2717"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "14008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021677100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mishpacha Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.