Active NPI
Rahul Kumar
- Dentist
- Dundalk, MD
National Provider Identifier
1073404125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18763
- Practice address
- 1171 Merritt Blvd
Dundalk, MD 21222-1438 - Phone
- (410) 648-4106
- NPI assigned
- Jul 15, 2025
- Sex
- Male
- 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 | 18763 | MD | Primary |
Addresses
Primary practice location
1171 Merritt Blvd
Dundalk, MD 21222-1438
Mailing address
11616 Mirror Pond CT
Fulton, MD 20759-2306
Phone (240) 460-0345
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 |
|---|---|---|---|
| 18763 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1073404125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11616 MIRROR POND CT",
"city": "FULTON",
"state": "MD",
"postal_code": "207592306",
"telephone_number": "240-460-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 MERRITT BLVD",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212221438",
"telephone_number": "410-648-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "RAHUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.