Organization Active NPI

Infinite Healthy Smile, LLC

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1396589628
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
INFINITE HEALTHY SMILE, LLC
Practice address
1528 Country Ridge LN
Baltimore, MD 21221-3906
Phone
(443) 266-9400
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Payam Nourmand, DDS
Title
Agent
Phone
(443) 762-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1528 Country Ridge LN
Baltimore, MD 21221-3906

Mailing address

6510 Gardenwick Rd
Baltimore, MD 21209-2538
Phone (443) 762-1470

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1396589628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 GARDENWICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092538",
            "telephone_number": "443-762-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 COUNTRY RIDGE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212213906",
            "telephone_number": "443-266-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE HEALTHY SMILE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "NOURMAND",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "443-762-1470",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.