Individual provider Active NPI

Syeda Maheen Jaffery, DMD

  • General Practice Dentistry
  • Owings Mills, MD
National Provider Identifier
1457837072
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17767 Issued in MD
Practice address
10995 Owings Mills Blvd Ste 218
Owings Mills, MD 21117-1030
Phone
(410) 205-1687
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17767 MD Primary

Addresses

Primary practice location

10995 Owings Mills Blvd Ste 218
Owings Mills, MD 21117-1030

Mailing address

3132 Odonnell St
Baltimore, MD 21224-4935
Phone (443) 614-5604

Other practice location 1

621 Stemmers Run Rd Ste D
Essex, MD 21221-3386
Phone (410) 489-1689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17767MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1457837072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 ODONNELL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244935",
            "telephone_number": "443-614-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 OWINGS MILLS BLVD STE 218",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171030",
            "telephone_number": "410-205-1687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Stemmers Run Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "MD",
            "postal_code": "212213386",
            "country_code": "US",
            "telephone_number": "410-489-1689",
            "fax_number": "410-489-1685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFERY",
        "first_name": "SYEDA",
        "middle_name": "MAHEEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.