Individual provider Active NPI

Arian Hamidi, D.D.S.

  • Dentist
  • Elkridge, MD
National Provider Identifier
1861875353
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15918 Issued in MD
Practice address
7190 Troy Hill Dr Ste 200
Elkridge, MD 21075-7055
Phone
(443) 917-6468
NPI assigned
Jul 2, 2015
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15918 MD Primary

Addresses

Primary practice location

7190 Troy Hill Dr Ste 200
Elkridge, MD 21075-7055

Mailing address

105 Ralph Rd
Glen Burnie, MD 21060-7433
Phone (443) 226-4749

Other practice location 1

12793 Laurel Bowie Rd
Laurel, MD 20708-2606
Phone (301) 623-3737

Other practice location 2

12793 Laurel Bowie Rd
Laurel, MD 20708-2606
Phone (301) 623-3737

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160908001377 MD Order and Referring Only - DentistPractitioner - Dentist 9830485465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15918MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arian Hamidi DDS LLC Dentist CurrentSince Jul 21, 2024 Accepting new patients
Ulery Dental and Orthodontics Dentist PastSince Feb 7, 2021 Accepting new patients

Locations

7190 Troy Hill Dr
Ste 200
Elkridge, MD 21075
Phone (443) 917-6468

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1861875353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RALPH RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607433",
            "telephone_number": "443-226-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 TROY HILL DR STE 200",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757055",
            "telephone_number": "443-917-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12793 Laurel Bowie Rd",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207082606",
            "country_code": "US",
            "telephone_number": "301-623-3737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12793 Laurel Bowie Rd",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207082606",
            "country_code": "US",
            "telephone_number": "301-623-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMIDI",
        "first_name": "ARIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.