Silver Spring Medical Supplies LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SILVER SPRING MEDICAL SUPPLIES LLC

Practice address

831 University Blvd E Ste 21
Silver Spring, MD 20903-2920

Phone

(240) 235-5082

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Navid Sadoughi

Title

DPM, Owner

Phone

(240) 641-8735

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1851958193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E STE 21",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032920",
            "telephone_number": "240-235-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E STE 21",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032920",
            "telephone_number": "240-235-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPRING MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "SADOUGHI",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "DPM, OWNER",
        "authorized_official_telephone_number": "240-641-8735"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907190300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.