Organization Active NPI

Rouhanian Dental PC

Doing business as Quince Orchard Dental Care

  • Dental Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1619244852
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROUHANIAN DENTAL PC
Doing business as
Quince Orchard Dental Care
Practice address
845 Quince Orchard Blvd Ste H
Gaithersburg, MD 20878
Phone
(301) 527-2727
NPI assigned
Nov 16, 2011
Last updated
Feb 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Dr. Mohammad Mehran Rouhanian, DDS
Title
President
Phone
(301) 637-9744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

845 Quince Orchard Blvd Ste H
Gaithersburg, MD 20878

Mailing address

845 Quince Orchard Blvd Ste H
Gaithersburg, MD 20878-1676
Phone (301) 527-2727

Other names 1

  • Quince Orchard Dental Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180111000344 MD DME Supplier - Oral Surgery - Dentist 2668731019 Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1619244852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 QUINCE ORCHARD BLVD STE H",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781676",
            "telephone_number": "301-527-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 QUINCE ORCHARD BLVD STE H",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "301-527-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUHANIAN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "ROUHANIAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-637-9744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quince Orchard Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quince Orchard Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.