Organization Active NPI

Center for Oral & Facial Enhancement, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Bethesda, MD
National Provider Identifier
1487961025
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CENTER FOR ORAL & FACIAL ENHANCEMENT, INC
Practice address
4825 Bethesda Ave
Suite 310
Bethesda, MD 20814-5245
Phone
(301) 654-7070
Fax
(301) 654-7050
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Dr. H. Ryan Kazemi, D.M.D.
Title
Ceo
Phone
(301) 654-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4825 Bethesda Ave
Suite 310
Bethesda, MD 20814-5245

Mailing address

4825 Bethesda Ave
Suite 310
Bethesda, MD 20814-5245
Phone (301) 654-7070

National Provider Directory

National Provider Directory

Locations

4825 Bethesda Ave
Ste 310
Bethesda, MD 20814
Phone (301) 654-7070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1487961025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 BETHESDA AVE",
            "address_2": "SUITE 310",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145245",
            "telephone_number": "301-654-7070",
            "fax_number": "301-654-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 BETHESDA AVE",
            "address_2": "SUITE 310",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145245",
            "telephone_number": "301-654-7070",
            "fax_number": "301-654-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORAL & FACIAL ENHANCEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "KAZEMI",
        "authorized_official_first_name": "H. RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-654-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.