Maryam Hariri, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

53372 Issued in CA

Practice address

368 Broadway Ste 18
Saratoga Springs, NY 12866-3117

Phone

(540) 362-5437

NPI assigned

Oct 19, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Practice roles

Locations

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.

• Maryam Hariri

  • Dental Clinic/Center
  • Saratoga Springs, NY
  • NPI 1902499551
  NPD Authorized official
• American Mobile Dental, P.C.

  • General Practice Dentistry
  • Oneonta, NY
  • NPI 1700943750
  NPD (past)
• Roanoke Smiles Youth Dentistry, LLC

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1851489116
  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1851627376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MAMARONECK AVE",
            "address_2": "SUITE 302",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431900",
            "telephone_number": "914-835-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 BROADWAY STE 18",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663117",
            "telephone_number": "540-362-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIRI",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03541600",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison A Halpin, O.D.
• Susan E Halstead, OPTICIAN
• Catelyn Halusic-Smith, D.O.
• Elizabeth Hollyday Hammond, LCSW
• Kerry Sanborn Hardy, MS,RD,CDN
• Stephanie Harman
• Robert Steven Harnick, M.D.
• Rebecca Harrica, PA
• Nicole Renee Harris, REGISTERED NURSE
• Harrison Family Dentists PLLC

• Dentist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.