Individual provider Active NPI

Reza Tafrishi, DDS

  • Dentist
  • Dundalk, MD
National Provider Identifier
1689834806
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14106 Issued in MD
Practice address
2507 N Point Rd
Dundalk, MD 21222-1605
Phone
(410) 284-6650
NPI assigned
Jun 11, 2008
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14106 MD Primary

Addresses

Primary practice location

2507 N Point Rd
Dundalk, MD 21222-1605

Mailing address

11666 Farside Rd
Ellicott City, MD 21042-1532
Phone (240) 505-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226001992 MD Order and Referring Only - DentistPractitioner - Dentist 7517958432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reza Tafrishi D.D.S.,P.C. PastSince Aug 28, 2021 Accepting new patients
Reza Tafrishi D.D.S.,P.C. Past Accepting new patients
Reza Tafrishi D.D.S.,P.C. PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1689834806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11666 FARSIDE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421532",
            "telephone_number": "240-505-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 N POINT RD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221605",
            "telephone_number": "410-284-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFRISHI",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

Verify at the official NPI Registry.