NPIMap

Organization Active NPI

Eftekhar a Hassani,DDS,PA

  • Dentist
  • Rockville, MD
National Provider Identifier
1568891141
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12040 Issued in MD
Legal business name
EFTEKHAR A HASSANI,DDS,PA
Practice address
4701 Randolph Rd Ste 205
Rockville, MD 20852-2261
Phone
(301) 230-2216
NPI assigned
Nov 5, 2013
Last updated
Nov 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Eftekhar Alsadat Hassani, DDS
Title
Owner
Phone
(301) 230-2216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12040 MD Primary

Addresses

Primary practice location

4701 Randolph Rd Ste 205
Rockville, MD 20852-2261

Mailing address

4701 Randolph Rd Ste 205
Rockville, MD 20852-2261
Phone (301) 230-2216

National Provider Directory

National Provider Directory

Locations

4701 Randolph Rd
Ste 205
Rockville, MD 20852
Phone (301) 230-2216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1568891141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD STE 205",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522261",
            "telephone_number": "301-230-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD STE 205",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522261",
            "telephone_number": "301-230-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFTEKHAR A HASSANI,DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "HASSANI",
        "authorized_official_first_name": "EFTEKHAR",
        "authorized_official_middle_name": "ALSADAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-230-2216",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.