Sasan Avraham Radparvar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14492 Issued in MD

Practice address

7954 Baltimore Annapolis Blvd Ste 1C
Glen Burnie, MD 21060-8186

Phone

(410) 766-2221

NPI assigned

Jul 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Radparvar Smile Keeper Dental PC

  • General Practice Dentistry
  • Glen Burnie, MD
  • NPI 1669349130
  NPD Authorized official
• Sasan a. Radparvar P.C.

  • General Practice Dentistry
  • Glen Burnie, MD
  • NPI 1487417523
  NPD Authorized official
• Ibrahim-Smilekeepers Dental

  • Dentist
  • Glen Burnie, MD
  • NPI 1396974341
  NPD (past)

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1790940518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 BALTIMORE ANNAPOLIS BLVD STE 1C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608186",
            "telephone_number": "410-766-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 BALTIMORE ANNAPOLIS BLVD STE 1C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608186",
            "telephone_number": "410-766-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADPARVAR",
        "first_name": "SASAN",
        "middle_name": "AVRAHAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053937",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Loreen Queen-Allen
• Shawnte Shanae Queen, LPN
• Quest Diagnostics Incorporated MD
• Avigayil Rabi, LCSW
• Radparvar Smile Keeper Dental PC
• Jamal Raheem
• Hilda Christine Raisch
• Kathleen Patricia Ralston, CNC, ND,PHD,CNHP
• Mahesh Rao Ramanadham, PHARMD
• Jorge Miguel Ramirez, M.D.

• General Practice Dentistry in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.