Churchville Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11612 Issued in MD

Legal business name

CHURCHVILLE FAMILY DENTISTRY

Practice address

1402 E Churchville Rd
Bel Air, MD 21014-4708

Phone

(410) 838-5776

Fax

(410) 879-3701

NPI assigned

Aug 20, 2009

Reactivated

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nahid Z Shahry, D.D.S.

Title

Owner/Dentist

Phone

(410) 838-5776

Specialties & licenses 1

Addresses

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.

• Nahid Shahry DDS LLC

  dba Churchville Family Dentistry

  • Dentist
  • Bel Air, MD
  • NPI 1679683783
  NPD tax ID

Locations

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1740412030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144708",
            "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": "1402 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144708",
            "telephone_number": "410-838-5776",
            "fax_number": "410-879-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCHVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2012-03-12",
        "deactivation_date": "2009-09-24",
        "reactivation_date": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "SHAHRY",
        "authorized_official_first_name": "NAHID",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "410-838-5776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christman Family Chiropractic, LLC
• Christman Family Chiropractic, LLC
• Evan Robert Christman, D.C.
• Christy's Counseling and Consulting, LLC
• Eric Chu, MD
• Judy Diane Churn, R.N.
• Tami R Cillo, SPEECH PATHOLOGIST
• Brian Cimaglia
• Citycare Family Practice & Urgent Care Services Inc
• Caitlin Clark, LMSW

• General Practice Dentistry in Bel Air, MD
• Providers in Bel Air, 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 Mar 12, 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.