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DR. MARYAM GHORBANI DDS
NPI 1104436690
Dentist - General Practice in New York, NY

Active since August 09, 2020
40 WATERSIDE PLZ APT 12B, NEW YORK, NY 10010(760) 666-5066 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Jul 20, 2021, Aug 9, 2020 (3 updates tracked since 2020).

About Dr. Maryam Ghorbani Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARYAM GHORBANI DDS (NPI 1104436690) is an individual general practice provider in New York, New York, licensed in Missouri (2024026698) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1104436690
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARYAM GHORBANICredential: DDS
Location Address40 WATERSIDE PLZ APT 12BNew York, NY 10010-2636
Mailing AddressPo Box 564San Marcos, CA 92079-0564
Phone(760) 666-5066
Sole ProprietorYes
Enumeration DateAugust 9, 2020
Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1104436690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2024026698
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 105212 (CA)
40 WATERSIDE PLZ APT 12B, New York, NY 10010
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryam Ghorbani's NPI number?

The NPI number for Maryam Ghorbani is 1104436690. It was assigned to this individual provider in the NPPES registry on August 9, 2020.

Where is Maryam Ghorbani located?

Maryam Ghorbani practices at 40 Waterside Plz Apt 12B, New York, NY 10010. The listed phone number is (760) 666-5066.

What is Maryam Ghorbani's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Maryam Ghorbani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 10 other insurers list Maryam Ghorbani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryam Ghorbani was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.