Active NPI
Emily Kara Little, DMD
- Pediatric Dentistry
- Frederick, MD
National Provider Identifier
1073927455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 15796
- Practice address
- 52 Thomas Johnson Dr
Frederick, MD 21702-4501 - Phone
- (301) 631-0501
- NPI assigned
- Jun 13, 2014
- Last updated
- May 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 15796 | MD | Primary |
Addresses
Primary practice location
52 Thomas Johnson Dr
Frederick, MD 21702-4501
Mailing address
52 Thomas Johnson Dr
Frederick, MD 21702-4501
Phone (301) 631-0501
Other practice location 1
57 Thomas Johnson Dr Ste A
Frederick, MD 21702-4670
Phone (301) 631-0501
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 |
|---|---|---|---|
| 15796 | MD | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr.Sivakumar Pediatric Dental Center LLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Frederick, MD
- NPI 1649441494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1073927455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024501",
"telephone_number": "301-631-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024501",
"telephone_number": "301-631-0501"
}
],
"practiceLocations": [
{
"address_1": "57 Thomas Johnson Dr Ste A",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024670",
"country_code": "US",
"telephone_number": "301-631-0501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITTLE",
"first_name": "EMILY",
"middle_name": "KARA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "15796",
"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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.