Niruja Santhirasegaram, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15202 Issued in MD

Practice address

18220 Contour Rd
Montgomery Village, MD 20877-2623

Phone

(301) 208-0002

NPI assigned

Nov 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1134550296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18627 NATHANS PL",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208864249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 CONTOUR RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208772623",
            "telephone_number": "301-208-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTHIRASEGARAM",
        "first_name": "NIRUJA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Salcedo
• Heather Marie Salvatore, M.S., BCBA
• Sam'S Medical Laboratory LLC
• Sanders H. Berk, M.D. PA
• Sandra'S Nursing Services, LLC
• Barton Santos, D.M.D
• Nathaniel Addison Sawyer, LCSW-C
• Victoria Haleem Schwarzenberg, CRNP
• Brittany Scriber, LCPC
• Jenn Wang Sellers, MD

• All providers in Montgomery Village, MD
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.