Active NPI
Danielle A Amini-Luther, D.M.D.
- General Practice Dentistry
- Frederick, MD
National Provider Identifier
1972236503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17558
- Practice address
- 9099 Ridgefield Dr Ste 206
Frederick, MD 21701-6720 - Phone
- (301) 663-7733
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- 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 | 17558 | MD | Primary |
Addresses
Primary practice location
9099 Ridgefield Dr Ste 206
Frederick, MD 21701-6720
Mailing address
14820 Michele Dr
Glenelg, MD 21737-9416
Phone (443) 812-6754
Other practice location 1
5016 Dorsey Hall Dr
Ellicott City, MD 21042-7823
Phone (410) 740-1400
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 |
|---|---|---|---|
| 17558 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellahe Amini-Nejad | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Frederick, MD
- NPI 1942340419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1972236503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14820 MICHELE DR",
"city": "GLENELG",
"state": "MD",
"postal_code": "217379416",
"telephone_number": "443-812-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9099 RIDGEFIELD DR STE 206",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016720",
"telephone_number": "301-663-7733"
}
],
"practiceLocations": [
{
"address_1": "5016 Dorsey Hall Dr",
"address_purpose": "LOCATION",
"city": "Ellicott City",
"state": "MD",
"postal_code": "210427823",
"country_code": "US",
"telephone_number": "410-740-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMINI-LUTHER",
"first_name": "DANIELLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "17558",
"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 Jul 1, 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.