Active NPI
Naz Zijerdi
- Dentist
- Montgomery Village, MD
National Provider Identifier
1508545195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18123
- Practice address
- 10007 Stedwick Rd
Montgomery Village, MD 20886-3710 - Phone
- (240) 528-7920
- NPI assigned
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18123 | MD | Primary |
Addresses
Primary practice location
10007 Stedwick Rd
Montgomery Village, MD 20886-3710
Mailing address
934 Elden St
Herndon, VA 20170-3724
Phone (703) 599-9119
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 |
|---|---|---|---|
| 18123 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1508545195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 ELDEN ST",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703724",
"telephone_number": "703-599-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10007 STEDWICK RD",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208863710",
"telephone_number": "240-528-7920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIJERDI",
"first_name": "NAZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery Village, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.