Organization Active NPI

Ellahe Amini-Nejad

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1942340419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELLAHE AMINI-NEJAD
Practice address
9099 Ridgefield Dr
Suite 206
Frederick, MD 21701
Phone
(301) 663-7733
Fax
(301) 663-6422
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ellahe Amini-Nejad, DMD
Title
Owner Sole Proprietor
Phone
(301) 663-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9099 Ridgefield Dr
Suite 206
Frederick, MD 21701

Mailing address

9099 Ridgefield Dr
Suite 206
Frederick, MD 21701
Phone (301) 663-7733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942340419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 RIDGEFIELD DR",
            "address_2": "SUITE 206",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-663-7733",
            "fax_number": "301-663-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9099 RIDGEFIELD DR",
            "address_2": "SUITE 206",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-663-7733",
            "fax_number": "301-663-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLAHE AMINI-NEJAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMINI-NEJAD",
        "authorized_official_first_name": "ELLAHE",
        "authorized_official_title_or_position": "OWNER SOLE PROPRIETOR",
        "authorized_official_telephone_number": "301-663-7733",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.