Active NPI
Amanjot Kaur Sarao, DMD
- Dentist
- Frederick, MD
National Provider Identifier
1023634243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2951000825
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2951000825 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Center for Dentistry, LLC | Current | Accepting new patients | |
| Movak PC | Past | Accepting new patients | |
| Politimi Mantzouranis DDS LLC | Past | 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.
-
- General Practice Dentistry
- Frederick, MD
- NPI 1568061166
-
- General Practice Dentistry
- Frederick, MD
- NPI 1700051943
-
- General Practice Dentistry
- Haymarket, VA
- NPI 1891491049
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.