NPIMap

Organization Active NPI

Nahid Shahry DDS LLC

Doing business as Churchville Family Dentistry

  • Dentist
  • Bel Air, MD
National Provider Identifier
1679683783
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11612 Issued in MD
Legal business name
NAHID SHAHRY DDS LLC
Doing business as
Churchville Family Dentistry
Practice address
1301 Churchville Rd
Bel Air, MD 21014
Phone
(410) 838-5776
Fax
(410) 879-3701
NPI assigned
Aug 30, 2006
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Dr. Nahid Z Shahry, DDSNPI 1114251030
Title
Dentist Owner
Phone
(410) 838-5776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11612 MD Primary

Addresses

Primary practice location

1301 Churchville Rd
Bel Air, MD 21014

Mailing address

1301 Churchville Rd
Bel Air, MD 21014
Phone (410) 838-5776

Other names 1

  • Churchville Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Churchville Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1301 E Churchville Rd
Bel Air, MD 21014
Phone (410) 838-5776

Practitioners & affiliated clinicians

Practitioners 2

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1679683783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-838-5776",
            "fax_number": "410-879-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-838-5776",
            "fax_number": "410-879-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAHID SHAHRY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "SHAHRY",
        "authorized_official_first_name": "NAHID",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "410-838-5776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Churchville Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.