DR. ARMIN BOUTEHSAZ (NPI# 1073009767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073009767 |
| Entity Type | Individual |
| Full Name | DR. ARMIN BOUTEHSAZ |
| Credential | DDS |
| Practice Address |
1253 W Pratt St Baltimore MD 21223-2684 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 4107274746 |
| Practice Fax Number | 4107276767 |
| Mailing Telephone | 7195761850 |
| Mailing Fax Number | 7199553470 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 16564 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 767008700 | 05 | |
| ADA | 965375292 | 01 |
| Street Address |
1253 W PRATT ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578645503 | Dawn Frances Abousy | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2600 | 2006-10-19 |
| 1780202358 | Trenton Davidheiser | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2020-07-10 |
| 1922521715 | Alessandra Michele Bonasso | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2017-07-24 |
| 1790166650 | Naimata Saucer | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2015-06-16 |
| 1629484753 | Suzanne Motwaly | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2014-07-09 |
| 1740619691 | Hae Young Eom | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2013-11-01 |
| 1205106648 | Abraham Solomon Zuckerbrod | Optometrist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2012-01-02 |
| 1083939011 | Natalie Kelley | Dentist | 1253 W Pratt St, Baltimore, MD 21223-2600 | 2010-04-01 |
| 1245476068 | Pamela Denise Brogden | Optometrist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2008-12-29 |
| 1205006145 | Michael G Pharris Od PC | Optometrist | 1253 W Pratt St, Baltimore, MD 21223-2684 | 2008-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
| Find all providers in zip 21223 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999736 | Kyung Min Shin | Dentist | 11 S Eutaw St Apt 1609, Baltimore, MD 21201-1638 | 2020-07-16 |
| 1649897935 | Cory Kyser | Dentist | 1900 E Northern Pkwy Ste 103, Baltimore, MD 21239-2109 | 2020-07-02 |
| 1841814845 | Michael Listhaus | Dentist | 650 W Baltimore St Rm 2204, Baltimore, MD 21201-1510 | 2020-06-04 |
| 1598325904 | Chelsea Merritt | Dentist | 2 N Charles St Ste 130, Baltimore, MD 21201-3715 | 2019-06-18 |
| 1699235036 | Alyssa M Dierkes | Dentist | 10 Light St Unit 1002, Baltimore, MD 21202-1476 | 2019-03-21 |
| 1841777323 | Nikta Pashai | Dentist | 4660 Wilkens Ave Ste 301, Baltimore, MD 21229-4845 | 2018-07-26 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1851814065 | Frederico Canato Martinho | Dentist | 650 W Baltimore St Rm 6258, Baltimore, MD 21201-1510 | 2017-07-19 |
| 1578085593 | Rabia Eltaf | Dentist | 1010 S Northpoint Rd, Baltimore, MD 21224-3307 | 2017-07-11 |
| 1699297838 | Smile Dental, LLC | Dentist | 535 Dundalk Ave Ste 2, Baltimore, MD 21224-2903 | 2017-07-10 |
| Find all providers in BALTIMORE | ||||
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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.