Individual provider Active NPI

Sapna Nandyala, DDS

  • Dentist
  • District Heights, MD
National Provider Identifier
1215247135
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14710 Issued in MD
Practice address
5570 Silver Hill Rd
District Heights, MD 20747-1104
Phone
(302) 202-2222
NPI assigned
Oct 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14710 MD Primary

Addresses

Primary practice location

5570 Silver Hill Rd
District Heights, MD 20747-1104

Mailing address

3106 W Springs Dr
Apt E
Ellicott City, MD 21043-3247
Phone (703) 855-1157

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

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1215247135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 W SPRINGS DR",
            "address_2": "APT E",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433247",
            "telephone_number": "703-855-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 SILVER HILL RD",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207471104",
            "telephone_number": "302-202-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDYALA",
        "first_name": "SAPNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.