Individual provider Active NPI

Lili Ghazai, DDS

  • General Practice Dentistry
  • Rockville, MD
National Provider Identifier
1598811630
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12225 Issued in MD
Practice address
15215 Shady Grove Rd Ste 103
Rockville, MD 20850-6298
Phone
(301) 825-9245
Fax
(301) 296-6199
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12225 MD Primary

Addresses

Primary practice location

15215 Shady Grove Rd Ste 103
Rockville, MD 20850-6298

Mailing address

15825 Shady Grove Rd
Suite #120
Rockville, MD 20850-4008
Phone (301) 825-9245

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

LicenseStateTypeSpecialty
12225MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Dental Studio, LLC. CurrentSince May 25, 2025 Accepting new patients

Locations

15215 Shady Grove Rd
Ste 103
Rockville, MD 20850
Phone (301) 825-9245

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1598811630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 SHADY GROVE RD",
            "address_2": "SUITE #120",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504008",
            "telephone_number": "301-825-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 SHADY GROVE RD STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506298",
            "telephone_number": "301-825-9245",
            "fax_number": "301-296-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZAI",
        "first_name": "LILI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12225",
            "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 May 20, 2025; 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.