Modern Oral & Facial Surgery

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

MODERN ORAL & FACIAL SURGERY

Practice address

6191 Executive Blvd
Rockville, MD 20852-3901

Phone

(301) 610-3918

Fax

(301) 610-3781

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Cyrus F Mistry, DDS, MDNPI 1134486491

Title

Owner

Phone

(301) 610-3918

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cyrus Farookh Mistry, M.D., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rockville, MD
  • NPI 1134486491

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1902479025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523901",
            "telephone_number": "301-610-3918",
            "fax_number": "301-610-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523901",
            "telephone_number": "301-610-3918",
            "fax_number": "301-610-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ORAL & FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-610-3918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Mobley
• Sharaya Mobley
• Moco Pediatric Dentists LLC
• Gayatri Modak
• Shahram Modarres
• Hilda Fembe Modika
• Barry Modlin, M.D.
• Angel Ellis Moe, PT
• Lily Moezi-Vaziri, D.C.
• Rohan Moffatt, MD

• Oral & Maxillofacial Surgery (D.M.D.) in Rockville, MD
• Providers in Rockville, MD by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.