NPIMap

Organization Active NPI

Family Dental Group of Germantown

  • Dentist
  • Germantown, MD
National Provider Identifier
1669764007
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11510 Issued in MD
Legal business name
FAMILY DENTAL GROUP OF GERMANTOWN
Practice address
13097 Wisteria Dr Ste 101
Germantown, MD 20874-2624
Phone
(301) 540-2444
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Amir Tofigh
Title
Dentist
Phone
(301) 540-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 11510 MD Primary

Addresses

Primary practice location

13097 Wisteria Dr Ste 101
Germantown, MD 20874-2624

Mailing address

13097 Wisteria Dr Ste 101
Germantown, MD 20874-2624

National Provider Directory

National Provider Directory

Locations

13097 Wisteria Dr
Ste 101
Germantown, MD 20874
Phone (301) 540-2444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1669764007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13097 WISTERIA DR STE 101",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13097 WISTERIA DR STE 101",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742624",
            "telephone_number": "301-540-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL GROUP OF GERMANTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "TOFIGH",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-540-2444"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "11510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.