NPIMap

Individual provider Active NPI

Haider Alshami

  • Pediatric Dentistry
  • Rockville, MD
National Provider Identifier
1851881999
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
17736 Issued in MD
Practice address
121 Congressional LN Ste 500
Rockville, MD 20852-1561
Phone
(301) 881-0220
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 17736 MD Primary

Addresses

Primary practice location

121 Congressional LN Ste 500
Rockville, MD 20852-1561

Mailing address

650 W Baltimore St, Baltimore, MD 21201
3Rd Flood
Baltimore, MD 21286

Other practice location 1

650 W Baltimore St, Baltimore, MD 21201
3rd Flood
Baltimore, MD 21286
Phone (410) 428-9595

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Halshami@umaryland.edu

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

LicenseStateTypeSpecialty
17736MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Kids Dental Current Accepting new patients
Rockville Pediatric Dental LLC Pediatric Dentistry PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1851881999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST, BALTIMORE, MD 21201",
            "address_2": "3RD FLOOD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CONGRESSIONAL LN STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521561",
            "telephone_number": "301-881-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Baltimore St, Baltimore, MD 21201",
            "address_2": "3rd Flood",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21286",
            "country_code": "US",
            "telephone_number": "410-428-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSHAMI",
        "first_name": "HAIDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "17736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Halshami@umaryland.edu",
            "affiliation": "N",
            "address_1": "121 Congressional Ln Ste 500",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208521561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.