Individual provider Active NPI

Narayani Baliga, DMD

  • Pediatric Dentistry
  • Damascus, MD
National Provider Identifier
1194915025
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
15105 Issued in MD
Practice address
9815 Main St Ste 200
Damascus, MD 20872-2099
Phone
(301) 747-6543
Fax
(855) 202-0720
NPI assigned
Jul 26, 2007
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MA21909 MA
Pediatric Dentistry 1223P0221X 15105 MD Primary

Addresses

Primary practice location

9815 Main St Ste 200
Damascus, MD 20872-2099

Mailing address

9815 Main St Ste 200
Damascus, MD 20872-2099
Phone (301) 747-6547

Other practice location 1

19522 Doctors Dr Ste E
Germantown, MD 20874-5200
Phone (301) 540-9366

Other identifiers 2

IdentifierTypeStateIssuer
15105OtherMDDHMH
047671400MedicaidMD

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

LicenseStateTypeSpecialty
MA21909MAMDDentist
15105MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
BK Dental LLC Current Accepting new patients
New Smiles Kids Dentistry Pediatric Dentistry Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
42 North Dental Care, LLC Past Accepting new patients

Locations

9815 Main St
Ste 200
Damascus, MD 20872
Phone (301) 747-6543

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1194915025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 MAIN ST STE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722099",
            "telephone_number": "301-747-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 MAIN ST STE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722099",
            "telephone_number": "301-747-6543",
            "fax_number": "855-202-0720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19522 Doctors Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208745200",
            "country_code": "US",
            "telephone_number": "301-540-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALIGA",
        "first_name": "NARAYANI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "MA21909",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "15105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH",
            "identifier": "15105",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047671400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.