Individual provider Active NPI

Amanjot Kaur Sarao, DMD

  • Dentist
  • Frederick, MD
National Provider Identifier
1023634243
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2951000825 Issued in MI
Practice address
140 Thomas Johnson Dr Ste 203
Frederick, MD 21702-4485
Phone
(301) 662-8675
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2951000825 MI Primary

Addresses

Primary practice location

140 Thomas Johnson Dr Ste 203
Frederick, MD 21702-4485

Mailing address

14976 Omega CT
Waterford, VA 20197-1664
Phone (269) 591-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2951000825MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Center for Dentistry, LLC CurrentSince Sep 20, 2022 Accepting new patients
Movak PC PastSince Feb 8, 2023 Accepting new patients
Politimi Mantzouranis DDS LLC PastSince Sep 20, 2022 Accepting new patients

Locations

140 Thomas Johnson Dr
Ste 203
Frederick, MD 21702
Phone (301) 662-8675

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1023634243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14976 OMEGA CT",
            "city": "WATERFORD",
            "state": "VA",
            "postal_code": "201971664",
            "telephone_number": "269-591-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 THOMAS JOHNSON DR STE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024485",
            "telephone_number": "301-662-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAO",
        "first_name": "AMANJOT",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2951000825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.