NPIMap

Individual provider Active NPI

Behzad Mirdamadi, D.D.S.

  • Dentist
  • Gaithersburg, MD
National Provider Identifier
1528223740
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9867 Issued in MD
Practice address
18218 Flower Hill Way
Dental Suite Habibi and Mirdamadi, D.D.S., P.a.
Gaithersburg, MD 20879
Phone
(301) 963-0665
NPI assigned
Jul 28, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9867 MD Primary

Addresses

Primary practice location

18218 Flower Hill Way
Dental Suite Habibi and Mirdamadi, D.D.S., P.a.
Gaithersburg, MD 20879

Mailing address

18218 Flower Hill Way
Dental Suite Habibi and Mirdamadi, D.D.S., P.a.
Gaithersburg, MD 20879
Phone (301) 963-0665

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
9867MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Habibi & Mirdamadi D.D.S, PA. Dentist Past Accepting new patients
Hill Southern Dental of Maryland PPO PC Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1528223740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18218 FLOWER HILL WAY",
            "address_2": "DENTAL SUITE HABIBI AND MIRDAMADI, D.D.S., P.A.",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20879",
            "telephone_number": "301-963-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18218 FLOWER HILL WAY",
            "address_2": "DENTAL SUITE HABIBI AND MIRDAMADI, D.D.S., P.A.",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20879",
            "telephone_number": "301-963-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRDAMADI",
        "first_name": "BEHZAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "9867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.