NPIMap

Organization Active NPI

Laurel Pines Dental 100 LLC

  • General Practice Dentistry
  • Laurel, MD
National Provider Identifier
1891167193
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15535 Issued in MD
Legal business name
LAUREL PINES DENTAL 100 LLC
Practice address
14333 Laurel Bowie Rd Ste 100
Laurel, MD 20708-1149
Phone
(301) 953-3081
Fax
(301) 725-4885
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Dr. Farshad Samadnejad, DDS
Title
Owner/General Dentist
Phone
(301) 953-3081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15535 MD Primary

Addresses

Primary practice location

14333 Laurel Bowie Rd Ste 100
Laurel, MD 20708-1149

Mailing address

14333 Laurel Bowie Rd Ste 100
Laurel, MD 20708-1149
Phone (301) 953-3081

National Provider Directory

National Provider Directory

Locations

14333 Laurel Bowie Rd
Ste 100
Laurel, MD 20708
Phone (301) 525-1794

Practitioners & affiliated clinicians

Practitioners 5

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": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1891167193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD STE 100",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081149",
            "telephone_number": "301-953-3081",
            "fax_number": "301-725-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD STE 100",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081149",
            "telephone_number": "301-953-3081",
            "fax_number": "301-725-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL PINES DENTAL 100 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "SAMADNEJAD",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "301-953-3081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.