Individual provider Active NPI

Rozita Safavizadeh, DDS

  • Dentist
  • Rockville, MD
National Provider Identifier
1437233129
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12397 Issued in MD
Practice address
14820 Physicians Lane
Suite 141
Rockville, MD 20850
Phone
(301) 838-8725
Fax
(301) 838-8726
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12397 MD Primary

Addresses

Primary practice location

14820 Physicians Lane
Suite 141
Rockville, MD 20850

Mailing address

14820 Physicians Lane
Suite 141
Rockville, MD 20850
Phone (301) 838-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105000660 MD Order and Referring Only - DentistPractitioner - Dentist 8729380084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rozita Safavizadeh, DDS,LLC CurrentSince Feb 4, 2024 Accepting new patients

Locations

14820 Physicians Ln
Ste 141
Rockville, MD 20850
Phone (301) 838-8725

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1437233129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14820 PHYSICIANS LANE",
            "address_2": "SUITE 141",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-838-8725",
            "fax_number": "301-838-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 PHYSICIANS LANE",
            "address_2": "SUITE 141",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-838-8725",
            "fax_number": "301-838-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAVIZADEH",
        "first_name": "ROZITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.