Active NPI
Nesreen H Sabah, DMD
- Dentist
- Ellicott City, MD
National Provider Identifier
1073714531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15957
- Practice address
- 10132 Baltimore National Pike Ste C
Ellicott City, MD 21042-3607 - Phone
- (410) 567-0729
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9258 | NC | |
| General Practice Dentistry | 1223G0001X | D8730 | OR | |
| Dentist | 122300000X | 15957 | MD | Primary |
Addresses
Primary practice location
10132 Baltimore National Pike Ste C
Ellicott City, MD 21042-3607
Mailing address
10132 Baltimore National Pike Ste C
Ellicott City, MD 21042-3607
Phone (410) 567-0729
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 |
|---|---|---|---|
| 15957 | MD | MD | Dentist |
| 9258 | NC | MD | Dentist |
| D8730 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1073714531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10132 BALTIMORE NATIONAL PIKE STE C",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423607",
"telephone_number": "410-567-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10132 BALTIMORE NATIONAL PIKE STE C",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423607",
"telephone_number": "410-567-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABAH",
"first_name": "NESREEN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9258",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D8730",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.