NPIMap

Organization Active NPI

Ez Smile Dental Inc

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1750893095
Registry record updated May 20, 2022
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14008 Issued in MD
Legal business name
EZ SMILE DENTAL INC
Practice address
5006 Sinclair LN
Baltimore, MD 21206-5936
Phone
(410) 488-0600
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Dr. Payam Nourmand
Title
Owner
Phone
(410) 488-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 14008 MD Primary
Dental Clinic/Center 261QD0000X 14008 MD

Addresses

Primary practice location

5006 Sinclair LN
Baltimore, MD 21206-5936

Mailing address

5006 Sinclair LN
Baltimore, MD 21206-5936
Phone (410) 488-0600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1750893095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065936",
            "telephone_number": "410-488-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065936",
            "telephone_number": "410-488-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ SMILE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "NOURMAND",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-488-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14008",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "14008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.