NPIMap

Organization Active NPI

Kourosh Mehrabian DDS & Associates

Doing business as Maryland Dental Center

  • General Practice Dentistry
  • Gaithersburg, MD
National Provider Identifier
1770327579
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOUROSH MEHRABIAN DDS & ASSOCIATES
Doing business as
Maryland Dental Center
Practice address
923 Russell Ave Ste a
Gaithersburg, MD 20879-6224
Phone
(240) 667-7615
NPI assigned
Jun 25, 2024
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Kourosh Mehrabian, MDNPI 1407990252
Title
Ceo
Phone
(301) 608-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

923 Russell Ave Ste a
Gaithersburg, MD 20879-6224

Mailing address

923 Russell Ave Ste a
Gaithersburg, MD 20879-6224
Phone (240) 667-7615

Other names 1

  • Maryland Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kourosh Mehrabian DDS Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

923 Russell Ave
Ste A
Gaithersburg, MD 20879
Phone (240) 667-7615

Practitioners & affiliated clinicians

Practitioners 1

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": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1770327579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 RUSSELL AVE STE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208796224",
            "telephone_number": "240-667-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 RUSSELL AVE STE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208796224",
            "telephone_number": "240-667-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH MEHRABIAN DDS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "MEHRABIAN",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-608-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maryland Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.