Active NPI
Samar Rezaie
- Dentist
- Fulton, MD
National Provider Identifier
1841968419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17637
- Practice address
- 7625 Maple Lawn Blvd Ste 240
Fulton, MD 20759-2565 - Phone
- (415) 837-8669
- NPI assigned
- Aug 31, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17637 | MD | Primary |
Addresses
Primary practice location
7625 Maple Lawn Blvd Ste 240
Fulton, MD 20759-2565
Mailing address
7625 Maple Lawn Blvd Ste 240
Fulton, MD 20759-2565
Phone (415) 837-8669
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 |
|---|---|---|---|
| 17637 | MD | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midtown Dental Care,LLC | Current | Accepting new patients |
Locations
7625 Maple Lawn Blvd
Ste 240
Fulton, MD 20759
Phone (301) 588-7888
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Fulton, MD
- NPI 1679370381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1841968419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7625 MAPLE LAWN BLVD STE 240",
"city": "FULTON",
"state": "MD",
"postal_code": "207592565",
"telephone_number": "415-837-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7625 MAPLE LAWN BLVD STE 240",
"city": "FULTON",
"state": "MD",
"postal_code": "207592565",
"telephone_number": "415-837-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZAIE",
"first_name": "SAMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.