Active NPI
Sajjad Shahmoradi
- Dentist
- Arnold, MD
National Provider Identifier
1841070745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18568
- Practice address
- 1460 Ritchie Hwy Ste 203
Arnold, MD 21012-2741 - Phone
- (443) 375-5035
- NPI assigned
- Sep 29, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 18568 | MD | Primary |
Addresses
Primary practice location
1460 Ritchie Hwy Ste 203
Arnold, MD 21012-2741
Mailing address
1128 Pecanland Rd Ste 1
Monroe, LA 71203-7019
Phone (318) 459-9739
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 |
|---|---|---|---|
| 18568 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1841070745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 PECANLAND RD STE 1",
"city": "MONROE",
"state": "LA",
"postal_code": "712037019",
"telephone_number": "318-459-9739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 RITCHIE HWY STE 203",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210122741",
"telephone_number": "443-375-5035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHMORADI",
"first_name": "SAJJAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-29",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arnold, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.