Active NPI
Sheida Larijani, DDS
- Dentist
- Germantown, MD
National Provider Identifier
1487757068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12110
- Practice address
- 20 Executive Park CT
Germantown, MD 20874-2645 - Phone
- (301) 916-5800
- Fax
- (301) 916-0500
- NPI assigned
- Sep 7, 2006
- Last updated
- Sep 5, 2008
- 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 | 12110 | MD | Primary |
| Dentist | 122300000X | 0401411205 | VA |
Addresses
Primary practice location
20 Executive Park CT
Germantown, MD 20874-2645
Mailing address
20 Executive Park CT
Germantown, MD 20874-2645
Phone (301) 916-5800
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 |
|---|---|---|---|
| 12110 | MD | MD | Dentist |
| 0401411205 | VA | MD | Dentist |
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": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1487757068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 EXECUTIVE PARK CT",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742645",
"telephone_number": "301-916-5800",
"fax_number": "301-916-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 EXECUTIVE PARK CT",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742645",
"telephone_number": "301-916-5800",
"fax_number": "301-916-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIJANI",
"first_name": "SHEIDA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12110",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401411205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.