Organization Active NPI

Samir B. Hishmeh, D.D.S., PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Silver Spring, MD
National Provider Identifier
1821245903
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
MD07977 Issued in MD
Legal business name
SAMIR B. HISHMEH, D.D.S., PA
Practice address
2415 Musgrove Rd
109
Silver Spring, MD 20904-5200
Phone
(301) 384-5700
Fax
(301) 384-5619
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Dr. Samir B. Hishmeh, D.D.S.
Title
Oral Surgeon, President
Phone
(301) 384-5700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X MD07977 MD
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X MD07977 MD Primary
Oral and Maxillofacial Radiology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0008X MD07977 MD

Addresses

Primary practice location

2415 Musgrove Rd
109
Silver Spring, MD 20904-5200

Mailing address

2415 Musgrove Rd
109
Silver Spring, MD 20904
Phone (301) 384-5700

National Provider Directory

National Provider Directory

Locations

2415 Musgrove Rd
Ste 109
Silver Spring, MD 20904
Phone (301) 384-5700

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1821245903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "109",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20904",
            "telephone_number": "301-384-5700",
            "fax_number": "301-384-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "109",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045200",
            "telephone_number": "301-384-5700",
            "fax_number": "301-384-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR B. HISHMEH, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "HISHMEH",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ORAL SURGEON, PRESIDENT",
        "authorized_official_telephone_number": "301-384-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MD",
            "license": "MD07977",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "MD07977",
            "primary": true
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "MD",
            "license": "MD07977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.