NPIMap

Organization Active NPI

Tannaz Poursaeid DDS PA

  • Pediatric Dentistry
  • Germantown, MD
National Provider Identifier
1568852259
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12061 Issued in MD
Legal business name
TANNAZ POURSAEID DDS PA
Practice address
19735 Germantown Rd
220
Germantown, MD 20874-1214
Phone
(301) 972-4224
Fax
(301) 972-1195
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Susie Rahimi
Title
Office Manager
Phone
(301) 972-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12061 MD Primary

Addresses

Primary practice location

19735 Germantown Rd
220
Germantown, MD 20874-1214

Mailing address

19735 Germantown Rd
220
Germantown, MD 20874-1214
Phone (301) 972-4224

National Provider Directory

National Provider Directory

Locations

19735 Germantown Rd
Ste 220
Germantown, MD 20874
Phone (301) 972-4224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1568852259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD",
            "address_2": "220",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741214",
            "telephone_number": "301-972-4224",
            "fax_number": "301-972-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD",
            "address_2": "220",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741214",
            "telephone_number": "301-972-4224",
            "fax_number": "301-972-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNAZ POURSAEID DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-972-4224"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "12061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.