Individual provider Active NPI

Sahar Rose Ghamary, DMD

  • General Practice Dentistry
  • Montgomery Village, MD
National Provider Identifier
1487330080
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18057 Issued in MD
Practice address
19644 Club House Rd Ste 810
Montgomery Village, MD 20886-3048
Phone
(703) 945-9696
NPI assigned
Jun 27, 2023
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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 18057 MD Primary

Addresses

Primary practice location

19644 Club House Rd Ste 810
Montgomery Village, MD 20886-3048

Mailing address

19644 Club House Rd Ste 810
Montgomery Village, MD 20886-3048
Phone (301) 300-6072

Other practice location 1

14800 4th St Ste 14A
Laurel, MD 20707-3708
Phone (703) 945-9696

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
18057MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
G. Ghamary DDS #1 PC General Practice PastSince Jul 2, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1487330080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19644 CLUB HOUSE RD STE 810",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863048",
            "telephone_number": "301-300-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19644 CLUB HOUSE RD STE 810",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863048",
            "telephone_number": "703-945-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14800 4th St Ste 14A",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207073708",
            "country_code": "US",
            "telephone_number": "703-945-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAMARY",
        "first_name": "SAHAR",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.