Active NPI
Elnaz Nazemian, D.D.S
- Dentist
- Charlotte Hall, MD
National Provider Identifier
1487089413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401414146
- Practice address
- 29795 Three Notch Rd
Charlotte Hall, MD 20622-4106 - Phone
- (301) 290-0001
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401414146 | VA | Primary |
| Dentist | 122300000X | 16138 | MD |
Addresses
Primary practice location
29795 Three Notch Rd
Charlotte Hall, MD 20622-4106
Mailing address
29795 Three Notch Rd
Charlotte Hall, MD 20622-4106
Phone (301) 290-0001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16138 | MD | MD | Dentist |
| 0401414146 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1487089413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29795 THREE NOTCH RD",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "206224106",
"telephone_number": "301-290-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29795 THREE NOTCH RD",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "206224106",
"telephone_number": "301-290-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZEMIAN",
"first_name": "ELNAZ",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414146",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16138",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.