KIAN DJAWDAN DMD PA (NPI# 1780199166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780199166 |
| Entity Type | Organization |
| Organization Name | KIAN DJAWDAN DMD PA |
| Practice Address |
200 Harry S Truman Pkwy Annapolis MD 21401-7601 |
| Mailing Address |
200 Harry S Truman Pkwy Ste 200 Annapolis MD 21401-7348 |
| Practice Telephone | 4102667645 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | KIAN DJAWDAN (OWNER) |
| Authorized Official Telephone | 4102667645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Street Address |
200 HARRY S TRUMAN PKWY |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619097425 | Kian Djawdan | Dentist | 200 Harry S Truman Pkwy, Suite 210, Annapolis, MD 21401-7601 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1891172581 | Andrew Bookwalter Dds LLC | Clinic/Center | 314 Franklin Ave Ste 401, Berlin, MD 21811-1263 | 2015-05-01 |
| 1417206970 | Jarred Abel, Dds, PC | Clinic/Center | 5530 Wisconsin Ave. Suite 930, Chevy Chase, MD 20815 | 2012-08-30 |
| 1457913907 | Akeso Orofacial Surgery, LLC | Clinic/Center | 13934 Baltimore Ave, Laurel, MD 20707-5000 | 2019-07-05 |
| 1528628401 | Oral Surgery of Maryland, LLC Jerome Casper Sole Mbr | Clinic/Center | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2019-06-13 |
| 1518329614 | Chevy Chase Implant & Oral Surgery. L.L.C. | Clinic/Center | 5550 Friendship Blvd Ste 250, Chevy Chase, MD 20815-7296 | 2016-03-28 |
| 1164896395 | Glen Burnie Oral Surgery Associates PC | Clinic/Center | 300 Hospital Dr, # 237, Glen Burnie, MD 21061-6902 | 2015-11-27 |
| 1316310634 | Elyassi's Greenbelt Oral and Facial Surgery | Clinic/Center | 7525 Greenway Center Dr, Suite 109, Greenbelt, MD 20770-3509 | 2015-11-09 |
| 1750774667 | Ross & Abel, LLC | Clinic/Center | 5530 Wisconsin Ave, Suite 640, Chevy Chase, MD 20815-4404 | 2015-03-17 |
| 1891039988 | Washington Oral Surgery Center, LLC | Clinic/Center | 1401 Mercantile Ln, Suite 102, Largo, MD 20774-4301 | 2012-11-15 |
| 1376892018 | Dr. Leonard Goldman, Pa | Clinic/Center | 12510 Prosperity Dr, Suite 250, Silver Spring, MD 20904-1663 | 2012-09-07 |
| Find all providers with the same taxonomy | ||||
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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.