Angelique Fallahi, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13363 Issued in MD

Practice address

603 Nursery Rd
Westminster, MD 21157-6109

Phone

(410) 876-6612

Fax

(410) 876-3760

NPI assigned

Mar 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carroll County Dental Associates, LLC

  • General Practice Dentistry
  • Westminster, MD
  • NPI 1316241292
  NPD (past)
• Dental Associates L.L.C.

  • General Practice Dentistry
  • Westminster, MD
  • NPI 1205805801
  NPD (past)
• Dental Associates, LLC

  • General Practice Dentistry
  • Finksburg, MD
  • NPI 1386891851
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851351183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 STAFFORDSHIRE PLACE",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "410-499-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NURSERY RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576109",
            "telephone_number": "410-876-6612",
            "fax_number": "410-876-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAHI",
        "first_name": "ANGELIQUE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Expanding Medicine, LLC
• Eye Care Associates of MD, LLC
• Eye Care Associates of MD, LLC
• Ikenna I Ezumba, MD
• Melanie Fajardo, PT, DPT
• Family & Childrens Services of Central Maryland
• Family & Childrens Services of Central Maryland Inc
• Family & Childrens Services of Central Maryland Inc (Springboard Community Services)
• Family and Childrens Services of Central Maryland Inc (Springboard Community Services)
• Family and Childrens Services of Central Maryland Inc (Springboard Community Services)

• General Practice Dentistry in Westminster, MD
• Providers in Westminster, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.