Organization Active NPI

Omni Dental Group, Inc.

  • General Practice Dentistry
  • Bowie, MD
National Provider Identifier
1437378601
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OMNI DENTAL GROUP, INC.
Practice address
4321 Collington Rd Ste 210
Bowie, MD 20716-2263
Phone
(301) 809-0029
Fax
(301) 809-0894
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Dr. Fariborz A Baik, D.D.S.NPI 1801017181
Title
President
Phone
(301) 809-0029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4321 Collington Rd Ste 210
Bowie, MD 20716-2263

Mailing address

4321 Collington Rd Ste 210
Bowie, MD 20716-2263
Phone (301) 809-0029

National Provider Directory

National Provider Directory

Locations

4321 Collington Rd
Ste 210
Bowie, MD 20716
Phone (301) 809-0029

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1437378601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 COLLINGTON RD STE 210",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162263",
            "telephone_number": "301-809-0029",
            "fax_number": "301-809-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 COLLINGTON RD STE 210",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162263",
            "telephone_number": "301-809-0029",
            "fax_number": "301-809-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "BAIK",
        "authorized_official_first_name": "FARIBORZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-809-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "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 Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.