Active NPI
Darakshan Fatmi, DDS
- Dentist
- Waldorf, MD
National Provider Identifier
1841925419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17794
- Practice address
- 3728 Crain Hwy Unit 105
Waldorf, MD 20603-4888 - Phone
- (240) 448-2634
- NPI assigned
- Jul 19, 2022
- Last updated
- Nov 16, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17794 | MD | Primary |
| General Practice Dentistry | 1223G0001X | DEN2000147 | DC |
Addresses
Primary practice location
3728 Crain Hwy Unit 105
Waldorf, MD 20603-4888
Mailing address
1716 M St NE
Washington, DC 20002-2008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | darakshan.fatmi@aspendental.com |
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 |
|---|---|---|---|
| DEN2000147 | DC | MD | General Practice Dentistry |
| 17794 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Nest LLC | General Practice | Current | Accepting new patients |
Locations
3728 Crain Hwy
Unit 105
Waldorf, MD 20603
Phone (240) 448-2634
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Waldorf, MD
- NPI 1952192072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1841925419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 M ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200022008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3728 CRAIN HWY UNIT 105",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034888",
"telephone_number": "240-448-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATMI",
"first_name": "DARAKSHAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17794",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN2000147",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "darakshan.fatmi@aspendental.com",
"affiliation": "N",
"address_1": "3728 Crain Hwy Unit 105",
"city": "Waldorf",
"state": "MD",
"country_code": "US",
"postal_code": "206034888",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.