Active NPI
Shadi Ghozati, D.D.S
- General Practice Dentistry
- Columbia, MD
National Provider Identifier
1578636510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13298
- Practice address
- 7226 Lee Deforest Rd
Suite 208
Columbia, MD 21046-3235 - Phone
- (410) 872-0103
- Fax
- (410) 872-0105
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13298 | MD | Primary |
Addresses
Primary practice location
7226 Lee Deforest Rd
Suite 208
Columbia, MD 21046-3235
Mailing address
7226 Lee Deforst Dr
Suite 208
Columbia, MD 21046
Phone (410) 872-0103
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13298 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadi Ghozati D.D.S. PA | Past | Accepting new patients |
Organizations & group practices 1
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": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578636510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7226 LEE DEFORST DR",
"address_2": "SUITE 208",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21046",
"telephone_number": "410-872-0103",
"fax_number": "410-872-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7226 LEE DEFOREST RD",
"address_2": "SUITE 208",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463235",
"telephone_number": "410-872-0103",
"fax_number": "410-872-0105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOZATI",
"first_name": "SHADI",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "13298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.