NPIMap

Organization Active NPI

Family Dental Wellness Center

  • General Practice Dentistry
  • Elkridge, MD
National Provider Identifier
1477897858
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13217 Issued in MD
Legal business name
FAMILY DENTAL WELLNESS CENTER
Practice address
6020 Meadowridge Center Dr
Elkridge, MD 21075-6088
Phone
(410) 782-3124
NPI assigned
Nov 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Dr. Samia Azhar, DDS
Title
Dentist
Phone
(443) 857-5317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13217 MD Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

6020 Meadowridge Center Dr
Elkridge, MD 21075-6088

Mailing address

6020 Meadowridge Center Dr
Elkridge, MD 21075-6088
Phone (410) 782-3124

Other names 1

  • Samia Azhar Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1477897858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 MEADOWRIDGE CENTER DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756088",
            "telephone_number": "410-782-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 MEADOWRIDGE CENTER DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756088",
            "telephone_number": "410-782-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-25",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "AZHAR",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "443-857-5317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13217",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samia Azhar",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.