NPIMap

Organization Active NPI

Forghani, DDS, PA

  • Dentist
  • Rockville, MD
National Provider Identifier
1922419159
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14585 Issued in MD
Legal business name
FORGHANI, DDS, PA
Doing business as
Modern Smiles
Practice address
130 Rollins Ave
Suite H2
Rockville, MD 20852-4093
Phone
(240) 292-4740
NPI assigned
May 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Dr. Ali Reza Forghani, DDS
Title
Dentist
Phone
(240) 292-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14585 MD Primary

Addresses

Primary practice location

130 Rollins Ave
Suite H2
Rockville, MD 20852-4093

Mailing address

130 Rollins Avenue
Suite H2
Rockville, MD 20852
Phone (240) 292-4740

Other names 1

  • Modern Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1922419159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ROLLINS AVENUE",
            "address_2": "SUITE H2",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "240-292-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ROLLINS AVE",
            "address_2": "SUITE H2",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524093",
            "telephone_number": "240-292-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGHANI, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "FORGHANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "240-292-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "14585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.