CYRUS FAROOKH MISTRY (NPI# 1134486491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134486491 |
| Entity Type | Individual |
| Full Name | CYRUS FAROOKH MISTRY |
| Credential | D.D.S. |
| Practice Address |
985 Russell Ave Gaithersburg MD 20879-6211 |
| Practice Telephone | 3019262928 |
| Practice Fax Number | 3019261802 |
| Mailing Telephone | 3019262928 |
| Mailing Fax Number | 3019261802 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
16286 | MD | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | INURANCES | 1134486491 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 752357708 | 2145908058 | |
| 915 Toll House Ave Ste 201, Frederick, MD 217015901 | 2405784435 | 2405784523 |
| 10313 Georgia Ave Ste 102, Silver Spring, MD 209025006 | 3016817500 | 3017542113 |
| Street Address |
985 RUSSELL AVE |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760495295 | Gregory Christopher Romanow | Dentist | 985 Russell Ave, Gaithersburg, MD 20879-6211 | 2006-08-14 |
| 1255721163 | Drs. Sweeney, Wise and Romanow, Dds, Dmd, Pa | Dentist | 985 Russell Ave, Gaithersburg, MD 20879-6211 | 2015-01-30 |
| 1063801926 | Drs. Sweeney, Wise and Romanow, Dds, Dmd, Pa | Dentist | 985 Russell Ave, Gaithersburg, MD 20879-6211 | 2015-01-15 |
| 1063520104 | Drs. Sweeney, Wise and Romanow, Dds,dmd,pa | Dentist | 985 Russell Ave, Gaithersburg, MD 20879-6211 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780765404 | John Michael Wise | Dentist | 985 Russell Avenue, Gaithersburg, MD 20879 | 2006-10-18 |
| 1760495295 | Gregory Christopher Romanow | Dentist | 985 Russell Ave, Gaithersburg, MD 20879-6211 | 2006-08-14 |
| 1063406866 | Junius Thomas Soliday Sr. | Dentist | 507 N Frederick Ave, Gaithersburg, MD 20877-2506 | 2005-09-07 |
| 1255721163 | Drs. Sweeney, Wise and Romanow, Dds, Dmd, Pa | Dentist | 985 Russell Ave, Gaithersburg, MD 20879-6211 | 2015-01-30 |
| 1063801926 | Drs. Sweeney, Wise and Romanow, Dds, Dmd, Pa | Dentist | 985 Russell Ave, Gaithersburg, MD 20879-6211 | 2015-01-15 |
| 1205150935 | Integrative Oral & Facial Surgery, P.a. | Dentist | 1 Bank St, Suite 240, Gaithersburg, MD 20878-1504 | 2010-03-24 |
| 1427127273 | Albert Terry Sweeney | Dentist | 985 Russell Avenue, Gaithersburg, MD 20879 | 2006-11-07 |
| 1063520104 | Drs. Sweeney, Wise and Romanow, Dds,dmd,pa | Dentist | 985 Russell Ave, Gaithersburg, MD 20879-6211 | 2006-08-28 |
| 1649264466 | Jay Saharat Nokkeo | Dentist | 507 N Frederick Ave, 2nd Floor, Gaithersburg, MD 20877-2506 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490707 | Carl Ruderman Dds LLC | Dentist | 6309 Baltimore Ave Ste 202, Riverdale, MD 20737-1059 | 2020-02-26 |
| 1740810845 | Akeso Columbia Office LLC | Dentist | 6798 Oak Hall Ln Ste A-1, Columbia, MD 21045-4892 | 2020-01-17 |
| 1245742741 | Akeso Orafacial Maxillary Surgery | Dentist | 7544 Belair Road, Nottingham, MD 21236 | 2017-10-25 |
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1356726301 | Jak LLC | Dentist | 352 Thompson Creek Mall, Stevensville, MD 21666-2500 | 2015-07-20 |
| 1548661614 | Ib Dental II, P.C. | Dentist | 30a Audrey Lane, Oxon Hill, MD 20745-1301 | 2014-09-09 |
| 1457764052 | Xun Joy Chen | Dentist | 15005 Shady Grove Rd Ste 420, Rockville, MD 20850-6321 | 2014-06-11 |
| 1164848370 | Maryland Oral Surgery Associates of Frederick, LLC | Dentist | 161 Thomas Johnson Dr Ste 295, Frederick, MD 21702-4314 | 2014-03-12 |
| 1013345511 | The Oral Surgery Center At Mitchellville | Dentist | 12164 Central Ave Ste 224, Mitchellville, MD 20721-1903 | 2013-10-17 |
| 1992142806 | Nkemakonam Egolum | Dentist | 4175 N Hanson Ct Ste 200, Bowie, MD 20716 | 2013-05-31 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
Please comment or provide details below to improve the information on CYRUS FAROOKH MISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.