Omid Kiarash, DMD, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

17508 Issued in MD

Practice address

10845 Town Center Blvd Ste 102
Dunkirk, MD 20754-2712

Phone

(301) 494-2029

NPI assigned

Jul 7, 2025

Last updated

Jul 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1386534816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 PENNGROVE LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171594",
            "telephone_number": "514-967-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 TOWN CENTER BLVD STE 102",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542712",
            "telephone_number": "301-494-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIARASH",
        "first_name": "OMID",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "17508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angele Pedie Kamdem, PHARM D
• Hannah Kamsheh, LGPC
• Patricia Ann Kane, F.N.P.-C.
• Brendan James Christopher Keena, PT, DPT
• Catherine Kellogg, LCSW-C
• Clay Hakmin Kim, DDS, MD
• John Jong Kim, RPH
• Troy Jonathan Kraft, PT
• Amanda Elizabeth Kressin
• Ksa Youth Foundation Inc. (A plus Counseling Center)

• Periodontics in Dunkirk, MD
• Providers in Dunkirk, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.