Individual provider Active NPI

Sara Ahmad

  • Pediatric Dentistry
  • Chambersburg, PA
National Provider Identifier
1174131320
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS044925 Issued in PA
Practice address
111 Chambers Hill Dr Ste 202
Chambersburg, PA 17201-7304
Phone
(717) 709-7941
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 18451 MD
Pediatric Dentistry 1223P0221X DS044925 PA Primary

Addresses

Primary practice location

111 Chambers Hill Dr Ste 202
Chambersburg, PA 17201-7304

Mailing address

111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922

Other practice location 1

1001 N Point Blvd Ste 503
Baltimore, MD 21224-3413
Phone (410) 282-8900

Other practice location 2

1401 Mercantile Ln Ste 102
Largo, MD 20774-4306
Phone (301) 710-5767

Other practice location 3

10605 Greenbelt Rd
Lanham, MD 20706-2274
Phone (301) 610-3649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206000127 PA Order and Referring Only - DentistPractitioner - Dentist 6406382027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18451MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sahmad464159@wellspan.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1174131320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 202",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Point Blvd Ste 503",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212243413",
            "country_code": "US",
            "telephone_number": "410-282-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Mercantile Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "207744306",
            "country_code": "US",
            "telephone_number": "301-710-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10605 Greenbelt Rd",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062274",
            "country_code": "US",
            "telephone_number": "301-610-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "18451",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS044925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.