Individual provider Active NPI

Monireh Hadi Sichani, DDS

  • General Practice Dentistry
  • Prince Frederick, MD
National Provider Identifier
1508523556
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18195 Issued in MD
Practice address
230 W Dares Beach Rd Ste 107
Prince Frederick, MD 20678-3151
Phone
(410) 535-5055
NPI assigned
Nov 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN20001999 DC
General Practice Dentistry 1223G0001X 18195 MD Primary

Addresses

Primary practice location

230 W Dares Beach Rd Ste 107
Prince Frederick, MD 20678-3151

Mailing address

10316 Rockville Pike Apt 201
North Bethesda, MD 20852-3317
Phone (240) 505-4265

Other practice location 1

10316 Rockville Pike Apt 201
North Bethesda, MD 20852-3317
Phone (240) 505-4265

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
DEN20001999DCMDGeneral Practice Dentistry
18195MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1508523556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 ROCKVILLE PIKE APT 201",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523317",
            "telephone_number": "240-505-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W DARES BEACH RD STE 107",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783151",
            "telephone_number": "410-535-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10316 Rockville Pike Apt 201",
            "address_purpose": "LOCATION",
            "city": "North Bethesda",
            "state": "MD",
            "postal_code": "208523317",
            "country_code": "US",
            "telephone_number": "240-505-4265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADI SICHANI",
        "first_name": "MONIREH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN20001999",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.