Active NPI
Maryam Nejat, DMD
- General Practice Dentistry
- Ft Washington, MD
National Provider Identifier
1902903818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10274
- Practice address
- 11701 Livingston Rd #305
Ft Washington, MD 20744 - Phone
- (301) 292-0105
- Fax
- (301) 292-5527
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10274 | MD | Primary |
Addresses
Primary practice location
11701 Livingston Rd #305
Ft Washington, MD 20744
Mailing address
5936 Falllmoon Ride
Clarksville, MD 21029
Phone (443) 535-9912
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10274 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1902903818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5936 FALLLMOON RIDE",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "21029",
"telephone_number": "443-535-9912",
"fax_number": "301-292-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 LIVINGSTON RD #305",
"city": "FT WASHINGTON",
"state": "MD",
"postal_code": "20744",
"telephone_number": "301-292-0105",
"fax_number": "301-292-5527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEJAT",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "10274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.