Elnaz Javadkhani, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401415762 Issued in VA

Practice address

7425 Baltimore Annapolis Blvd Ste 102
Glen Burnie, MD 21061-3501

Phone

(410) 760-5120

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elnaz Javadkhani, DDS, P.a.

  • Dentist
  • Boynton Beach, FL
  • NPI 1346826062
  NPD Authorized official
• Lifetime Dental Care of Maryland, Badger, P.C.

  • General Practice Dentistry
  • Effingham, IL
  • NPI 1093140501
  NPD (past)

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386179646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 BALTIMORE ANNAPOLIS BLVD STE 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613501",
            "telephone_number": "410-760-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 BALTIMORE ANNAPOLIS BLVD STE 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613501",
            "telephone_number": "410-760-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Parnassus Ave",
            "address_2": "Box #0758",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432210",
            "country_code": "US",
            "telephone_number": "415-476-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVADKHANI",
        "first_name": "ELNAZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402204090",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Jarrell Sharma
• Gwynneth L Jarrell
• Jassi Primary Care PA
• Sukhpal I Jassi, M.D
• Madhu Sreekanth Jasti, M.D
• Thirumalairaj Jeevan, M.D.
• Jeffrey L Bober DPM PA
• Jeffrey L Bober, DPM PA
• Rudolph Jeffries Jr., MD
• Megan Lauren Jendrossek, CRNP

• Dentist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.