Individual provider Active NPI

Sydney Sadler Bartolich, RDH

  • Dental Hygienist
  • Annapolis, MD
National Provider Identifier
1073335683
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
9018 Issued in MD
Practice address
2530 Riva Rd Ste 201
Annapolis, MD 21401-7443
Phone
(410) 849-6247
NPI assigned
Oct 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 9018 MD Primary

Addresses

Primary practice location

2530 Riva Rd Ste 201
Annapolis, MD 21401-7443

Mailing address

2530 Riva Rd Ste 201
Annapolis, MD 21401-7443
Phone (410) 849-6247

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
9018MDMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1073335683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 RIVA RD STE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017443",
            "telephone_number": "410-849-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 RIVA RD STE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017443",
            "telephone_number": "410-849-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLICH",
        "first_name": "SYDNEY",
        "middle_name": "SADLER",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.