Individual provider Active NPI

Michelle M Janbakhsh, DDS

  • Dentist
  • Gaithersburg, MD
National Provider Identifier
1588702385
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12824 Issued in MD
Practice address
901 Russell Ave
Suite 100
Gaithersburg, MD 20879-3281
Phone
(301) 977-8640
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12824 MD Primary

Addresses

Primary practice location

901 Russell Ave
Suite 100
Gaithersburg, MD 20879-3281

Mailing address

901 Russell Ave Ste 100
Gaithersburg, MD 20879-3281
Phone (301) 977-8640

Other names 1

  • Dr. Mehrnoush M Janbakhsh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229000889 MD Order and Referring Only - DentistPractitioner - Dentist 7517262520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12824MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Janbakhsh DDS LLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

901 Russell Ave
Ste 100
Gaithersburg, MD 20879
Phone (301) 977-8640

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1588702385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RUSSELL AVE STE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793281",
            "telephone_number": "301-977-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RUSSELL AVE",
            "address_2": "SUITE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793281",
            "telephone_number": "301-977-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANBAKHSH",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHRNOUSH",
            "last_name": "JANBAKHSH",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.