Greater Maryland Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

GREATER MARYLAND ENDODONTICS, LLC

Doing business as

Takoma Park Endodontics

Practice address

2045 University Blvd E Ste 204
Hyattsville, MD 20783-4137

Phone

(240) 842-9980

NPI assigned

Sep 18, 2018

Last updated

Oct 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahryar Nasir Khaliq, DMDNPI 1295141091

Title

Endodontist

Phone

(301) 275-0833

Specialties & licenses 1

Addresses

Other names 1

• Takoma Park Endodontics Doing business as

Locations

Practitioners 1

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.

• Shahryar Nasir Khaliq, D.M.D.

  • Endodontics
  • Hyattsville, MD
  • NPI 1295141091
  NPD Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1649754482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 UNIVERSITY BLVD E STE 204",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 UNIVERSITY BLVD E STE 204",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834137",
            "telephone_number": "240-842-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MARYLAND ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2023-10-30",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "KHALIQ",
        "authorized_official_first_name": "SHAHRYAR",
        "authorized_official_middle_name": "NASIR",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "301-275-0833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Takoma Park Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Takoma Park Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Girlie Isabel Granada
• Marcela Granja Gordon
• Lauren Tannisa Grant, RN, BSN
• Brittany Rae Gray, PHARMD
• Kharmen Patrice Gray, PHARMD
• Green Circles LLC
• Delisa Green, MS, CCC-SLP
• Ladrell Green
• Shameia Green
• Sarah Clay Griffin

• Endodontics in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.