NPIMap

Organization Active NPI

Bryan B Moradi DDS PA

Doing business as Ridgeview Dental Care

  • General Practice Dentistry
  • Hanover, MD
National Provider Identifier
1760033047
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRYAN B MORADI DDS PA
Doing business as
Ridgeview Dental Care
Practice address
2649 Annapolis Rd Ste D
Hanover, MD 21076-1290
Phone
(410) 672-1000
Fax
(410) 672-3743
NPI assigned
Sep 26, 2019
Last updated
Oct 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Dr. Bryan Moradi, DDSNPI 1306294533
Title
President
Phone
(410) 672-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2649 Annapolis Rd Ste D
Hanover, MD 21076-1290

Mailing address

2649 Annapolis Rd Ste D
Hanover, MD 21076-1290
Phone (410) 672-1000

Other names 1

  • Ridgeview Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2649 Annapolis Rd
Ste D
Hanover, MD 21076
Phone (410) 608-8385

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1760033047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 ANNAPOLIS RD STE D",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761290",
            "telephone_number": "410-672-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 ANNAPOLIS RD STE D",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761290",
            "telephone_number": "410-672-1000",
            "fax_number": "410-672-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN B MORADI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A",
        "authorized_official_last_name": "MORADI",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-672-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridgeview Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.