NPIMap

Organization Active NPI

Kourosh Mehrabian DDS & Associates PC

  • Dental Clinic/Center
  • Germantown, MD
National Provider Identifier
1437830585
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KOUROSH MEHRABIAN DDS & ASSOCIATES PC
Practice address
19731 Frederick Rd
Germantown, MD 20876-1337
Phone
(301) 528-5000
Fax
(301) 528-0700
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Dr. Kourosh Mehrabian, DDSNPI 1407990252
Title
Owner
Phone
(240) 667-7615

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

19731 Frederick Rd
Germantown, MD 20876-1337

Mailing address

19731 Frederick Rd
Germantown, MD 20876-1337
Phone (301) 528-5000

Other identifiers 1

IdentifierTypeStateIssuer
1154657344MedicaidMD

Other names 1

  • Maryland Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

19731 Frederick Rd
Germantown, MD 20876
Phone (301) 528-5000

Practitioners & affiliated clinicians

Practitioners 1

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1437830585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19731 FREDERICK RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208761337",
            "telephone_number": "301-528-5000",
            "fax_number": "301-528-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19731 FREDERICK RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208761337",
            "telephone_number": "301-528-5000",
            "fax_number": "301-528-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH MEHRABIAN DDS & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "MEHRABIAN",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-667-7615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154657344",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.