NPIMap

Organization Active NPI

Kidz & Family Dental Center LLC

Doing business as Kidz & Family Dental Center

  • Pediatric Dentistry
  • Takoma Park, MD
National Provider Identifier
1831656826
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KIDZ & FAMILY DENTAL CENTER LLC
Doing business as
Kidz & Family Dental Center
kidz & family dental center II
Practice address
1350 Holton LN
Takoma Park, MD 20912-7510
Phone
(301) 200-8015
Fax
(240) 833-2558
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Parisa Nemati
Title
Owner
Phone
(301) 200-8015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1350 Holton LN
Takoma Park, MD 20912-7510

Mailing address

11933 Georgia Ave
Silver Spring, MD 20902-2001
Phone (301) 200-8015

Other names 2

  • Kidz & Family Dental Center Doing business as
  • kidz & family dental center II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kidz Family Dental Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1350 Holton Ln
Takoma Park, MD 20912
Phone (301) 200-8015

Practitioners & affiliated clinicians

Practitioners 3

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": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1831656826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11933 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022001",
            "telephone_number": "301-200-8015",
            "fax_number": "240-833-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HOLTON LN",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127510",
            "telephone_number": "301-200-8015",
            "fax_number": "240-833-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ & FAMILY DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "NEMATI",
        "authorized_official_first_name": "PARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-200-8015",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz & Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "kidz & family dental center II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.