Shabnam Mazhari, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15252 Issued in MD

Practice address

10630 Little Patuxent Pkwy
410
Columbia, MD 21044-3264

Phone

(410) 884-3666

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dental One Associates Columbia PC

  • Dentist
  • Columbia, MD
  • NPI 1356466536
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1699025429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S CLINTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "410",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443264",
            "telephone_number": "410-884-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZHARI",
        "first_name": "SHABNAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elaine Mayer, CNM
• William M Mayer, MD
• Christopher Michael Mayes
• Jennifer Mayhew, R.N.
• Rita Mayhew, MT-BC
• Charles Matthew Mazick, LGPC
• Diamond-Ariya Mazie
• Ari Augustin Mazziotta
• Ingrid Mazziotta, MS, LCPC, NCC
• Ginamarie Mazzucco

• General Practice Dentistry in Columbia, MD
• Providers in Columbia, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.