Individual provider Active NPI

Mohammed S Warshanna, DMD

  • Dentist
  • Annapolis, MD
National Provider Identifier
1386707479
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11884 Issued in MD
Practice address
200 Forbes St
Suite 301
Annapolis, MD 21401-1538
Phone
(443) 603-9000
Fax
(443) 603-9010
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11884 MD Primary

Addresses

Primary practice location

200 Forbes St
Suite 301
Annapolis, MD 21401-1538

Mailing address

405 Frederick Rd Ste 150
Catonsville, MD 21228-4655
Phone (410) 747-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11884MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1386707479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD STE 150",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284655",
            "telephone_number": "410-747-0077",
            "fax_number": "443-603-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORBES ST",
            "address_2": "SUITE 301",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011538",
            "telephone_number": "443-603-9000",
            "fax_number": "443-603-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSHANNA",
        "first_name": "MOHAMMED",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.