SASAN MOGHADDAME-JAFARI MS DDS PA (NPI# 1306009550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306009550 |
| Entity Type | Organization |
| Organization Name | SASAN MOGHADDAME-JAFARI MS DDS PA |
| Practice Address |
11921 Rockville Pike 405 Rockville MD 20852-2737 |
| Practice Telephone | 3019843636 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | SASAN MOGHADDAME-JAFARI (PRESIDENT) |
| Authorized Official Telephone | 3019843636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
13190 | MD | Dental Providers |
| Street Address |
11921 ROCKVILLE PIKE 405 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999196 | Lester Alan Zuckerman | Anesthesiology | 11921 Rockville Pike, Suite 505, Rockville, MD 20852-2737 | 2005-06-01 |
| 1346717949 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 11921 Rockville Pike, Suite 505, Rockville, MD 20852 | 2018-11-01 |
| 1730565607 | Masooda Ibrahimi Naim | Nurse Practitioner | 11921 Rockville Pike, Suite 505, Rockville, MD 20852-2737 | 2015-08-03 |
| 1205229069 | Carey Lee Ostry | Nurse Practitioner | 11921 Rockville Pike, Suite 505, Rockville, MD 20852-2737 | 2015-03-17 |
| 1407247711 | Huichul Kim | Chiropractor | 11921 Rockville Pike, Suite 411, Rockville, MD 20852-2737 | 2015-02-09 |
| 1700290004 | Dr. Hannah Yecheskel, LLC | Optometrist | 11921 Rockville Pike, Suite 110, Rockville, MD 20852-2744 | 2014-06-13 |
| 1619228459 | Center for Pain Management, LLC | Psychologist | 11921 Rockville Pike, Suite 505, Rockville, MD 20852-2737 | 2012-09-19 |
| 1730412180 | Lawrence Goldbaum | Dentist | 11921 Rockville Pike, Suite 101, Rockville, MD 20852-2737 | 2009-09-16 |
| 1346573797 | Ronald Rosenberg | Dentist | 11921 Rockville Pike, Suite 101, Rockville, MD 20852-2737 | 2009-09-16 |
| 1669605549 | Drs. Goldbaum and Rosenberg | Clinic/Center | 11921 Rockville Pike, Suite 101, Rockville, MD 20852-2737 | 2009-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| 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 |
|---|---|---|---|---|
| 1831758382 | Georgetowne Park Endodontics | Dentist | 5846 Hubbard Dr, Rockville, MD 20852-4820 | 2019-06-09 |
| 1023510575 | Advanced Endodontics Specialty Doctors | Dentist | 5802 Hubbard Dr, Rockville, MD 20852-4818 | 2018-03-01 |
| 1972927713 | Christopher Jin | Dentist | 11125 Rockville Pike Ste 103, Rockville, MD 20852-3142 | 2014-02-14 |
| 1609099480 | Wing F Chan | Dentist | 15200 Shady Grove Rd Ste 410, Rockville, MD 20850-3218 | 2007-04-10 |
| 1285750588 | Ali Behnia | Dentist | 9707 Key West Ave, Suite 130, Rockville, MD 20850-3992 | 2007-03-21 |
| 1366652695 | Doctors Weber & Walker, PC | Dentist | 11125 Rockville Pike, Suite 103, Rockville, MD 20852-3142 | 2007-05-23 |
| 1518189372 | Yaser Fawaz Roumani | Dentist | 11125 Rockville Pike, Suite 103, Rockville, MD 20852-3142 | 2007-05-02 |
| 1578787081 | Michael Harris Weber | Dentist | 11125 Rockville Pike, Suite 103, Rockville, MD 20852-3142 | 2007-04-13 |
| 1609090125 | Ian Kenneth Walker | Dentist | 11125 Rockville Pike, Suite 103, Rockville, MD 20852-3142 | 2007-04-13 |
| 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 |
| 1750909651 | Azad Dental Group | Dentist | 1020 Mill Pond Rd Ste F, Frederick, MD 21701-9428 | 2020-07-08 |
| 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 |
| 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 |
| 1619350758 | Rct Endodontics of Laurel, LLC | Dentist | 9889 Brewers Ct, Laurel, MD 20723-1905 | 2015-07-07 |
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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.