Active NPI
Mina Ebrahimi Daryani, DMD
- Periodontics
- Rockville, MD
National Provider Identifier
1801326111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22D102668100
- Practice address
- 11300 Rockville Pike
Rockville, MD 20852-3093 - Phone
- (301) 231-9100
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 22D102668100 | NJ | Primary |
Addresses
Primary practice location
11300 Rockville Pike
Rockville, MD 20852-3093
Mailing address
7817 Tilghman St
Fulton, MD 20759-2580
Phone (857) 869-7395
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 |
|---|---|---|---|
| 22D102668100 | NJ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1801326111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7817 TILGHMAN ST",
"city": "FULTON",
"state": "MD",
"postal_code": "207592580",
"telephone_number": "857-869-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 ROCKVILLE PIKE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523093",
"telephone_number": "301-231-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBRAHIMI DARYANI",
"first_name": "MINA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "22D102668100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.