Individual provider Active NPI

Parisa Partovi-Tabar, D.D.S

  • General Practice Dentistry
  • Montgomery Village, MD
National Provider Identifier
1881979813
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14780 Issued in MD
Practice address
19644 Club House Rd
Suite 810
Montgomery Village, MD 20886-3047
Phone
(301) 740-7500
Fax
(301) 740-7512
NPI assigned
Oct 21, 2011
Last updated
Oct 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14780 MD Primary

Addresses

Primary practice location

19644 Club House Rd
Suite 810
Montgomery Village, MD 20886-3047

Mailing address

19644 Club House Rd
Suite 810
Montgomery Village, MD 20886-3047
Phone (301) 740-7500

Other names 1

  • Parisa Tabar Other name

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
14780MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
G. Ghamary DDS #1 PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1881979813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19644 CLUB HOUSE RD",
            "address_2": "SUITE 810",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863047",
            "telephone_number": "301-740-7500",
            "fax_number": "301-740-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19644 CLUB HOUSE RD",
            "address_2": "SUITE 810",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863047",
            "telephone_number": "301-740-7500",
            "fax_number": "301-740-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTOVI-TABAR",
        "first_name": "PARISA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARISA",
            "last_name": "TABAR",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.