Individual provider Active NPI

Maryam Honarkar, D.D.S.

  • General Practice Dentistry
  • Rockville, MD
National Provider Identifier
1467534024
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10694 Issued in MD
Practice address
216 W Montgomery Ave
Rockville, MD 20850-2803
Phone
(301) 762-4705
Fax
(301) 340-8459
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10694 MD Primary

Addresses

Primary practice location

216 W Montgomery Ave
Rockville, MD 20850-2803

Mailing address

216 W Montgomery Ave
Rockville, MD 20850-2803
Phone (301) 762-4705

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
I20160630001022 MD Order and Referring Only - DentistPractitioner - Dentist 5799077343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10694MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Maryam Honarkar D.D.S., P.a. General Practice Past Accepting new patients

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467534024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W MONTGOMERY AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502803",
            "telephone_number": "301-762-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W MONTGOMERY AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502803",
            "telephone_number": "301-762-4705",
            "fax_number": "301-340-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONARKAR",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.