Organization Active NPI

Dental Associate

Doing business as family dental group

  • Pediatric Dentistry
  • Hyattsville, MD
National Provider Identifier
1649431735
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11510 Issued in MD
Legal business name
DENTAL ASSOCIATE
Doing business as
family dental group
Practice address
3600 E West Hwy Ste 400
Hyattsville, MD 20782-2014
Phone
(301) 454-0300
NPI assigned
Jun 20, 2008
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Rahim Tofigh
Title
Dentist
Phone
(301) 370-9151

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13890 MD
Pediatric Dentistry 1223P0221X 11510 MD Primary
Prosthodontics 1223P0700X 11486 MD

Addresses

Primary practice location

3600 E West Hwy Ste 400
Hyattsville, MD 20782-2014

Mailing address

1019 Farm Haven Dr
Rockville, MD 20852-4247
Phone (301) 370-9151

Other names 1

  • family dental group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Associate PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1649431735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 FARM HAVEN DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524247",
            "telephone_number": "301-370-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E WEST HWY STE 400",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822014",
            "telephone_number": "301-454-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "TOFIGH",
        "authorized_official_first_name": "RAHIM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-370-9151"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13890",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "11510",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "11486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.