Shilah Alibakhshi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18101 Issued in MD

Practice address

19512 Amaranth Dr
Germantown, MD 20874-1212

Phone

(301) 540-0500

NPI assigned

Jun 1, 2023

Last updated

Jul 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1639862980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18515 BLACK KETTLE DR",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208414310",
            "telephone_number": "130-133-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19512 AMARANTH DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741212",
            "telephone_number": "301-540-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIBAKHSHI",
        "first_name": "SHILAH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18101",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara Alibakhshi, DDS
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• Alleviation Counseling Service LLC

• General Practice Dentistry in Germantown, MD
• Providers in Germantown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.