Active NPI
Nader Afgan, D.D.S.
- Dentist
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15443
- Practice address
- 100 Crain Hwy S
Glen Burnie, MD 21061-3528 - Phone
- (410) 969-9300
- Fax
- (410) 969-9311
- NPI assigned
- Jul 17, 2013
- Last updated
- May 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15443 | MD | Primary |
Addresses
Primary practice location
100 Crain Hwy S
Glen Burnie, MD 21061-3528
Mailing address
100 Crain Hwy S
Glen Burnie, MD 21061-3528
Phone (410) 969-9300
Other practice location 1
3715 Eastern Ave
Baltimore, MD 21224-4208
Phone (410) 327-5488
Other practice location 2
300 N Charles St
Baltimore, MD 21201-4305
Phone (410) 685-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111047100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15443 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Up Dental Center | Current | Accepting new patients | |
| Herber Brett Friedman, DDS, LLC | Past | Accepting new patients | |
| Highlandtown Dental Group, LLC | Dentist | Past | Accepting new patients |
| Michael K. Exler, D.D.S., P.a. | Past | Accepting new patients | |
| Herbert Brett Friedman DDS LLC Dba Union Dental Center | Dentist | Past | Accepting new patients |
Locations
100 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 969-9300
5 Crain Hwy N
Ste 100
Glen Burnie, MD 21061
Organizations & group practices 5
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.
-
dba Glen Burnie Dental Group
- General Practice Dentistry
- Glen Burnie, MD
- NPI 1679920938
-
dba Union Dental Center
- General Practice Dentistry
- Havre de Grace, MD
- NPI 1154765923
-
dba union dental center
- Dentist
- Havre de Grace, MD
- NPI 1699005348
-
- Dentist
- Baltimore, MD
- NPI 1255948048
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1609983840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1760823892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CRAIN HWY S",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613528",
"telephone_number": "410-969-9300",
"fax_number": "410-969-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CRAIN HWY S",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613528",
"telephone_number": "410-969-9300",
"fax_number": "410-969-9311"
}
],
"practiceLocations": [
{
"address_1": "3715 Eastern Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212244208",
"country_code": "US",
"telephone_number": "410-327-5488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 N Charles St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212014305",
"country_code": "US",
"telephone_number": "410-685-0002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AFGAN",
"first_name": "NADER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-17",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111047100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.