Active NPI
Anahita Abdehou, DDS
- Dentist
- Rosedale, MD
National Provider Identifier
1902062292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13230
- Practice address
- 6830 Hospital Dr
Suite# 106
Rosedale, MD 21237-4373 - Phone
- (410) 682-3600
- Fax
- (410) 682-5055
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13230 | MD | Primary |
Addresses
Primary practice location
6830 Hospital Dr
Suite# 106
Rosedale, MD 21237-4373
Mailing address
6830 Hospital Dr
Suite# 106
Rosedale, MD 21237-4373
Phone (410) 682-3600
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150722004260 | MD | Order and Referring Only - General Practice | 3375732100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1902062292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 HOSPITAL DR",
"address_2": "SUITE# 106",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212374373",
"telephone_number": "410-682-3600",
"fax_number": "410-682-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 HOSPITAL DR",
"address_2": "SUITE# 106",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212374373",
"telephone_number": "410-682-3600",
"fax_number": "410-682-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDEHOU",
"first_name": "ANAHITA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.