Paymaan Christopher Tavakoli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16715 Issued in MD

Practice address

7425 Arlington Rd
Bethesda, MD 20814-5321

Phone

(301) 652-2123

NPI assigned

Mar 29, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fusion Dental

  • General Practice Dentistry
  • Bethesda, MD
  • NPI 1336877299
  NPD (past)
• Morrison Dental Practice

  • Dentist
  • Bethesda, MD
  • NPI 1285774372
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1487115507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LANCASTER AVE APT 209",
            "city": "READING",
            "state": "PA",
            "postal_code": "196111670",
            "telephone_number": "301-928-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 ARLINGTON RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145321",
            "telephone_number": "301-652-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKOLI",
        "first_name": "PAYMAAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Tatsi, M.D.
• Michael Tatusov, M.D.
• Albert Taub
• Seth Tautges, MD
• Gita Tavakoli, R.PH
• Angelo Manuel Taveira-Dasilva, MD
• Kyrollos Tawfik, M.D.
• Michael Taye, M.D
• Taylor Health and Wellness Collective PLLC
• Anessa Taylor

• General Practice Dentistry in Bethesda, MD
• Providers in Bethesda, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.