Canary Doctor LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CANARY DOCTOR LLC

Practice address

8904 Maxwell Dr
Potomac, MD 20854-3124

Phone

(301) 706-4461

NPI assigned

Apr 10, 2020

Last updated

Apr 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alex Mohseni, MD

Title

Owner

Phone

(301) 706-4461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1548889447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 MAXWELL DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543124",
            "telephone_number": "301-706-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 MAXWELL DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543124",
            "telephone_number": "301-706-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANARY DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "MOHSENI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-706-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lee Bulley, PA-C
• Katherine Butterfoss
• Cabin John Optometry, LLC (MyEyeDr.)
• Donna Cafritz, MA.,CCC-A
• Lindsay Brooke Camhe
• Capital Children's Wellness Center
• Capital Home Care LLC (Capital Home Care)
• Capital Physical Health Services, LLC (CPHS)
• Capital Stroke Neurology Inc
• Caring Hearts Care LLC

• General Practice Physician in Potomac, MD
• Providers in Potomac, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.