Organization Active NPI

Maryam Haeri, DDS, PLLC.

  • Dental Clinic/Center
  • Washington, DC
National Provider Identifier
1871014795
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DEN1000289 Issued in DC
Legal business name
MARYAM HAERI, DDS, PLLC.
Practice address
1145 19TH St NW Ste 508
Washington, DC 20036-3715
Phone
(202) 826-7000
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Authorized official

Name
Dr. Maryam Hari, DDS
Title
Owner/ General Dentist
Phone
(202) 826-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DEN1000289 DC Primary

Addresses

Primary practice location

1145 19TH St NW Ste 508
Washington, DC 20036-3715

Mailing address

11800 Old Georgetown Rd Apt 1426
Rockville, MD 20852-2654
Phone (949) 439-1212

National Provider Directory

National Provider Directory

Locations

1145 19th St NW
Ste 508
Washington, DC 20036
Phone (202) 826-7000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1871014795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 OLD GEORGETOWN RD APT 1426",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522654",
            "telephone_number": "949-439-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 508",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363715",
            "telephone_number": "202-826-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM HAERI, DDS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "HARI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER/ GENERAL DENTIST",
        "authorized_official_telephone_number": "202-826-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DC",
            "license": "DEN1000289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.