Anis Tebyanian, D.M.D. M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

16265 Issued in MD

Practice address

18109 Prince Philip Dr Ste 245
Olney, MD 20832-1597

Phone

(301) 924-2155

Fax

(301) 924-2376

NPI assigned

May 22, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anis Tebyanian DMD MD PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Olney, MD
  • NPI 1609487891
  NPD Authorized official
• DRS Mennitt & Daly, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Olney, MD
  • NPI 1154369569
  NPD (past)
• Elyassi'S Greenbelt Oral and Facial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Greenbelt, MD
  • NPI 1316310634
  NPD (past)

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1487973061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR STE 245",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321597",
            "telephone_number": "301-924-2155",
            "fax_number": "310-924-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR STE 245",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321597",
            "telephone_number": "301-924-2155",
            "fax_number": "301-924-2376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2724 Kipling St Apt 525",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770981768",
            "country_code": "US",
            "telephone_number": "202-320-9966",
            "fax_number": "832-582-8678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEBYANIAN",
        "first_name": "ANIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D. M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-22",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "30761",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "16265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talk & Learn, LLC
• Sidney Theodore Tan, LMSW
• Kenneth Aldric Tang, DMD
• Lynn Tang
• Edward Philip Taubman, M.D.
• Rachel Danielle Teicher, PHYSICIAN ASSISTANT
• Teletherapy Connections, LLC
• Amanda Rauda Tellawi, MD
• Emnet Tesfaye, RDMS, RVT
• Emily Thakur, R.PH.

• Oral and Maxillofacial Surgery (Dentist) in Olney, MD
• Providers in Olney, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.