SASAN MOGHADDAMME-JAFARI (NPI# 1245383710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245383710 |
Entity Type | Individual |
Full Name | SASAN MOGHADDAMME-JAFARI |
Practice Address |
45 Thomas Johnson Dr Frederick MD 21702-4301 |
Practice Telephone | 3016968664 |
Enumeration Date | 2007-01-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
13190 | MD | Dental Providers |
Street Address |
45 THOMAS JOHNSON DR |
City | FREDERICK |
State | MD |
Zip Code | 21702-4301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003813072 | Kimberly Lyn Zeren | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702-4425 | 2005-07-05 |
1649538752 | Dawn Christian Sharer | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 | 2012-04-26 |
1104102839 | Freedom Home Dialysis, LLC | Clinic/Center | 45 Thomas Johnson Dr, Suite 211, Frederick, MD 21702-4425 | 2011-10-26 |
1881987907 | Nicole Harriman | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 | 2011-05-23 |
1871893719 | Catherine Theresa Lauritzen | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 | 2010-10-26 |
1427385681 | Khc Group PC | Clinical Medical Laboratory | 45 Thomas Johnson Dr, Frederick, MD 21702-4425 | 2009-11-09 |
1649435694 | Frederick Dermatology Associates LLC | Dermatology | 45 Thomas Johnson Dr, Frederick, MD 21702-4425 | 2008-07-18 |
1881862258 | Camerica S. Boma | Nurse Anesthetist, Certified Registered | 45 Thomas Johnson Dr, Suite 207, Frederick, MD 21702-4425 | 2008-02-19 |
1427260579 | Sarah S Lantzy | Internal Medicine | 45 Thomas Johnson Dr, Frederick, MD 21702-4425 | 2007-05-03 |
1568587772 | Dental One Associates Frederick PC | Dentist | 45 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4301 | 2007-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750909651 | Azad Dental Group | Dentist | 1020 Mill Pond Rd Ste F, Frederick, MD 21701-9428 | 2020-07-08 |
1215006507 | Michael D Parsons | Dentist | 85 Thomas Johnson Ct Ste A, Frederick, MD 21702-4331 | 2006-11-08 |
1497735377 | Tony Kyungsik Yoon | Dentist | 70 Thomas Johnson Dr, Suite 123, Frederick, MD 21702-4361 | 2006-01-18 |
1952770703 | Brian D Hall | Dentist | 604 Solarex Ct, Suite 202, Frederick, MD 21703-7005 | 2015-09-23 |
1730300609 | Alvin S. Ro | Dentist | 198 Thomas Johnson Dr, Suite 11, Frederick, MD 21702-4398 | 2007-05-01 |
1255410064 | Sunia Abdula-lessing | Dentist | 70 Thomas Johnson Dr, Suite 123, Frederick, MD 21702-4361 | 2006-11-03 |
1255417028 | Brian D. Hall, Dds, Pa | Dentist | 1090 W Patrick St, Suite D, Frederick, MD 21703-3967 | 2006-10-27 |
1982789269 | Douglas J. Koch, D.d.s.,l.l.c. | Dentist | 85 Thomas Johnson Ct, Suite A, Frederick, MD 21702-4331 | 2006-10-26 |
1811072291 | Douglas John Koch | Dentist | 85 Thomas Johnson Ct, Suite A, Frederick, MD 21702-4331 | 2006-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801404157 | Rct Endodontics of North Potomac, LLC | Dentist | 11906 Darnestown Rd Ste G, North Potomac, MD 20878-2200 | 2020-07-22 |
1831758382 | Georgetowne Park Endodontics | Dentist | 5846 Hubbard Dr, Rockville, MD 20852-4820 | 2019-06-09 |
1568021012 | Endodontics of Gaithersburg, LLC | Dentist | 847 Quince Orchard Blvd Ste G, Gaithersburg, MD 20878-1677 | 2019-06-09 |
1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
1649754482 | Greater Maryland Endodontics, LLC | Dentist | 7676 New Hampshire Ave Ste 424, Takoma Park, MD 20912-7516 | 2018-09-18 |
1346730249 | Alexis Joy Herring | Dentist | 29466 Pintail Dr Ste 16, Easton, MD 21601-9324 | 2018-05-16 |
1023510575 | Advanced Endodontics Specialty Doctors | Dentist | 5802 Hubbard Dr, Rockville, MD 20852-4818 | 2018-03-01 |
1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
1508399080 | Timonium Dental & Specialty LLC | Dentist | 2135 York Rd Ste A, Timonium, MD 21093-3137 | 2017-04-11 |
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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.