NPIMap

Organization Active NPI

Greenbelt Family Dentistry

  • Pediatric Dentistry
  • Greenbelt, MD
National Provider Identifier
1417290305
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11554 Issued in MD
Legal business name
GREENBELT FAMILY DENTISTRY
Practice address
7500 Hanover Pkwy
106
Greenbelt, MD 20770-2010
Phone
(301) 474-9100
Fax
(301) 474-1660
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Dr. Seyed Hamid Tofigh
Title
Dentist
Phone
(301) 474-9100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11554 MD
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 11554 MD Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 13626 MD

Addresses

Primary practice location

7500 Hanover Pkwy
106
Greenbelt, MD 20770-2010

Mailing address

7500 Hanover Pkwy
106
Greenbelt, MD 20770-2010
Phone (301) 474-9100

Other identifiers 1

IdentifierTypeStateIssuer
1558350298MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1417290305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "106",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702010",
            "telephone_number": "301-474-9100",
            "fax_number": "301-474-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "106",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702010",
            "telephone_number": "301-474-9100",
            "fax_number": "301-474-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBELT FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "TOFIGH",
        "authorized_official_first_name": "SEYED HAMID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-474-9100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11554",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "11554",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "13626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558350298",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.