Organization Active NPI

Susan Partovi D.D.S P.C

  • General Practice Dentistry
  • Rockville, MD
National Provider Identifier
1942364161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11155 Issued in MD
Legal business name
SUSAN PARTOVI D.D.S P.C
Practice address
15235 Shady Grove Rd
Suite 104
Rockville, MD 20850-3234
Phone
(301) 990-0020
Fax
(301) 990-0448
NPI assigned
Dec 21, 2006
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
Ms. Mari Jachens
Title
Office Manager
Phone
(301) 990-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11155 MD Primary

Addresses

Primary practice location

15235 Shady Grove Rd
Suite 104
Rockville, MD 20850-3234

Mailing address

15235 Shady Grove Rd
Suite 104
Rockville, MD 20850-3234
Phone (301) 990-0020

National Provider Directory

National Provider Directory

Locations

15235 Shady Grove Rd
Ste 104
Rockville, MD 20850
Phone (301) 990-0020

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942364161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD",
            "address_2": "SUITE 104",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503234",
            "telephone_number": "301-990-0020",
            "fax_number": "301-990-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD",
            "address_2": "SUITE 104",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503234",
            "telephone_number": "301-990-0020",
            "fax_number": "301-990-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN PARTOVI D.D.S P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACHENS",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-990-0020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.