Individual provider Active NPI

Devender Verma, D.D.S

  • Dentist
  • Frederick, MD
National Provider Identifier
1053351775
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11511 Issued in MD
Practice address
9093 Ridgefield Dr
Suite 203
Frederick, MD 21701-6710
Phone
(301) 624-1001
Fax
(301) 624-1016
NPI assigned
Jun 8, 2006
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11511 MD Primary

Addresses

Primary practice location

9093 Ridgefield Dr
Suite 203
Frederick, MD 21701-6710

Mailing address

9093 Ridgefield Dr
Suite 203
Frederick, MD 21701-6710
Phone (301) 624-1001

Other practice location 1

650 W Baltimore St
Baltimore, MD 21201-1510
Phone (410) 706-7306

Other identifiers 1

IdentifierTypeStateIssuer
664200400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508000412 MD Order and Referring Only - DentistPractitioner - Dentist 2567781859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1053351775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016710",
            "telephone_number": "301-624-1001",
            "fax_number": "301-624-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016710",
            "telephone_number": "301-624-1001",
            "fax_number": "301-624-1016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011510",
            "country_code": "US",
            "telephone_number": "410-706-7306",
            "fax_number": "410-706-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMA",
        "first_name": "DEVENDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "664200400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.