NPIMap

Organization Active NPI

My Frederick Dentist LLC

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1942767074
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MY FREDERICK DENTIST LLC
Practice address
2100 Old Farm Dr # 1-B
Frederick, MD 21702-9494
Phone
(301) 698-9552
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Authorized official

Name
Dr. Cyrus Allafi, DDS
Title
Ceo
Phone
(301) 580-6047

Specialties & licenses 1

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

Addresses

Primary practice location

2100 Old Farm Dr # 1-B
Frederick, MD 21702-9494

Mailing address

2100 Old Farm Dr # 1-B
Frederick, MD 21702-9494
Phone (301) 698-9552

National Provider Directory

National Provider Directory

Locations

2100 Old Farm Dr
#1B
Frederick, MD 21702
Phone (301) 698-9552

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1942767074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 OLD FARM DR # 1-B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029494",
            "telephone_number": "301-698-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 OLD FARM DR # 1-B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029494",
            "telephone_number": "301-698-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FREDERICK DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "ALLAFI",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-580-6047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE 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 6, 2022; 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.