Alireza Hamidzadeh, D.D.S. M.S.

Primary specialty

DentistTaxonomy code 122300000X

License

15831 Issued in MD

Practice address

1896 Urbana Pike
Clarksburg, MD 20871-8548

Phone

(301) 750-7000

Fax

(301) 476-1133

NPI assigned

Aug 16, 2012

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Happy Smiles Dental LLC

  • Dental Clinic/Center
  • Clarksburg, MD
  • NPI 1588191456
  NPD Authorized official
• Happy Smiles Dental 2, LLC

  • General Practice Dentistry
  • Clarksburg, MD
  • NPI 1659239184
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1689922080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13418 BISSEL LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541016",
            "telephone_number": "301-750-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 URBANA PIKE",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208718548",
            "telephone_number": "301-750-7000",
            "fax_number": "301-476-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDZADEH",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "D.D.S. M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2023-12-06",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413736",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Neighbor Dental
• Graceful Nurture Home Health, LLC
• Alison Grady, RN
• Ulrica Gregg
• Matthew Grigg
• Blerta Hamza
• Patricia Morgan Haney, RDN
• Happy Smiles Dental 2, LLC
• Happy Smiles Dental LLC
• Harris Teeter, LLC (Harris Teeter #409)

• Dentist in Clarksburg, MD
• Providers in Clarksburg, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.