Ishita Rahman DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ISHITA RAHMAN DMD LLC

Practice address

101 Ridgely Ave
Ste 20
Annapolis, MD 21401-1409

Phone

(410) 263-3700

Fax

(410) 268-4925

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Mary Dodson

Title

Office Manager

Phone

(410) 263-3700

Specialties & licenses 2

Addresses

Other names 1

• West Annapolis Family Dentistry Doing business as

Locations

Practitioners 2

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

• Ishita Rahman, D.M.D.

  • General Practice Dentistry
  • Annapolis, MD
  • NPI 1326408345
  NPD
• Jerry Alan Berkow, D.D.S.

  • General Practice Dentistry
  • Annapolis, MD
  • NPI 1285747337
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1447429279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIDGELY AVE",
            "address_2": "STE 20",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011409",
            "telephone_number": "410-263-3700",
            "fax_number": "410-268-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIDGELY AVE",
            "address_2": "STE 20",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011409",
            "telephone_number": "410-263-3700",
            "fax_number": "410-268-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHITA RAHMAN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-263-3700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Annapolis Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.