Amir H Zolfaghari, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12190 Issued in MD

Practice address

104 N Summit Ave
Gaithersburg, MD 20877-2920

Phone

(301) 527-7710

Fax

(301) 527-1114

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advance Family & Cosmetic Dentistry

  • Dentist
  • Gaithersburg, MD
  • NPI 1043546039
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1871554501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N SUMMIT AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772920",
            "telephone_number": "301-527-7710",
            "fax_number": "301-527-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N SUMMIT AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772920",
            "telephone_number": "301-527-7710",
            "fax_number": "301-527-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLFAGHARI",
        "first_name": "AMIR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Richards Zimmer, MD
• Bryan Zingg
• Zinna & Amado Psychological Consulting
• Ziorx LLC
• Zohar Maxcare Inc.
• Nadine Zoubi
• Sarah Zsak, MA, CCC-SLP
• Kathleen Terhune Zubatkin, LCSW-C
• Dolores Zumbado, DC

• Dentist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.