Individual provider Active NPI

Leili Zamini, DDS

  • Dentist
  • Reisterstown, MD
National Provider Identifier
1770145336
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16958 Issued in MD
Practice address
11710 Reisterstown Rd Ste 201
Reisterstown, MD 21136-3363
Phone
(410) 833-8380
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16958 MD Primary

Addresses

Primary practice location

11710 Reisterstown Rd Ste 201
Reisterstown, MD 21136-3363

Mailing address

511 Epsom Rd
Towson, MD 21286-2955
Phone (410) 963-2522

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

LicenseStateTypeSpecialty
16958MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Glade Dental Practice LLC PastSince Nov 1, 2020 Accepting new patients
Alexsandr M Fishman DDS PA PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1770145336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 EPSOM RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862955",
            "telephone_number": "410-963-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 REISTERSTOWN RD STE 201",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363363",
            "telephone_number": "410-833-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMINI",
        "first_name": "LEILI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.