Individual provider Active NPI

Sheyda Maghsoudi, DDS

  • Pediatric Dentistry
  • Rockville, MD
National Provider Identifier
1801327747
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
16827 Issued in MD
Practice address
11810 Parklawn Dr Ste 101
Rockville, MD 20852-2528
Phone
(301) 881-6170
Fax
(301) 231-9659
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 16827 MD Primary

Addresses

Primary practice location

11810 Parklawn Dr Ste 101
Rockville, MD 20852-2528

Mailing address

1801 Chapman Ave Apt 289
Rockville, MD 20852-5660
Phone (703) 728-5798

Other practice location 1

845 Quince Orchard Blvd Ste H
Gaithersburg, MD 20878-1676
Phone (301) 527-2727

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
16827MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lansdowne Pediatric Dentistry Pediatric Dentistry CurrentSince Sep 10, 2023 Accepting new patients
DRS Ensor Johnson & Lewis LLC Pediatric Dentistry PastSince Oct 13, 2019 Accepting new patients
Rouhanian Dental PC PastSince Feb 23, 2020 Accepting new patients

Locations

19415 Deerfield Ave
Ste 304
Lansdowne, VA 20176
Phone (517) 210-2771

Organizations & group practices 3

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1801327747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CHAPMAN AVE APT 289",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525660",
            "telephone_number": "703-728-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 PARKLAWN DR STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522528",
            "telephone_number": "301-881-6170",
            "fax_number": "301-231-9659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Quince Orchard Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208781676",
            "country_code": "US",
            "telephone_number": "301-527-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGHSOUDI",
        "first_name": "SHEYDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16827",
            "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 Jun 2, 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.

Verify at the official NPI Registry.