Individual provider Active NPI

M. Reza Ghajarnia, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lanham, MD
National Provider Identifier
1497716096
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
14378 Issued in MD
Practice address
9433 Annapolis Rd
Lanham, MD 20706-3020
Phone
(412) 953-8928
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 14378 MD Primary
Dentist 122300000X DS035239 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS035239 PA

Addresses

Primary practice location

9433 Annapolis Rd
Lanham, MD 20706-3020

Mailing address

9433 Annapolis Rd
Lanham, MD 20706-3020
Phone (412) 953-8928

Other identifiers 1

IdentifierTypeStateIssuer
0019078380001MedicaidPA

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
14378MDMDOrthodontics and Dentofacial Orthopedic Dentist
DS035239PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Glowsmiles Orthodontics and Dentofacial Orthopedics CurrentSince Aug 1, 2021 Accepting new patients
Ulery Dental and Orthodontics Dentist PastSince Feb 7, 2021 Accepting new patients
Ulery Dental and Orthodontics Dentist PastSince Feb 7, 2021 Accepting new patients
Ulery Dental and Orthodontics Dentist PastSince Feb 7, 2021 Accepting new patients
Ulery Dental and Orthodontics Dentist PastSince Feb 7, 2021 Accepting new patients

Locations

9433 Annapolis Rd
Lanham, MD 20706
Phone (412) 953-8928

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1497716096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 ANNAPOLIS RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063020",
            "telephone_number": "412-953-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 ANNAPOLIS RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063020",
            "telephone_number": "412-953-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAJARNIA",
        "first_name": "M. REZA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "14378",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035239",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS035239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019078380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.