Active NPI
Omid Janloo, D.D.S.
- General Practice Dentistry
- Elkridge, MD
National Provider Identifier
1922246289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14100
- Practice address
- 7310 Esquire CT
Suite 110
Elkridge, MD 21075-5440 - Phone
- (410) 371-7111
- NPI assigned
- Jan 25, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14100 | MD | Primary |
Addresses
Primary practice location
7310 Esquire CT
Suite 110
Elkridge, MD 21075-5440
Mailing address
1643 Liberty Rd
Suite 102
Eldersburg, MD 21784-6544
Phone (410) 795-8878
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 |
|---|---|---|---|
| 14100 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232841600000",
"number": "1922246289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 LIBERTY RD",
"address_2": "SUITE 102",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846544",
"telephone_number": "410-795-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 ESQUIRE CT",
"address_2": "SUITE 110",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210755440",
"telephone_number": "410-371-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANLOO",
"first_name": "OMID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-25",
"last_updated": "2009-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.