Individual provider Active NPI

Gulmira Ibragimova

  • Dental Hygienist
  • Hagerstown, MD
National Provider Identifier
1508745019
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
9221 Issued in MD
Practice address
11151 Robinwood Dr
Hagerstown, MD 21742-6703
Phone
(240) 291-3711
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 9221 MD Primary

Addresses

Primary practice location

11151 Robinwood Dr
Hagerstown, MD 21742-6703

Mailing address

13931 Seneca Ridge Dr
Hagerstown, MD 21740-1667
Phone (240) 291-3711

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
9221MDMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1508745019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13931 SENECA RIDGE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401667",
            "telephone_number": "240-291-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11151 ROBINWOOD DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426703",
            "telephone_number": "240-291-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAGIMOVA",
        "first_name": "GULMIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "9221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; 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.