Individual provider Active NPI

Sunia Abdula-Lessing, D.D.S, M.S.

  • Endodontics
  • Frederick, MD
National Provider Identifier
1255410064
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
13195 Issued in MD
Practice address
70 Thomas Johnson Dr
Suite 123
Frederick, MD 21702-4361
Phone
(301) 668-3000
Fax
(301) 668-7888
NPI assigned
Nov 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 13195 MD Primary

Addresses

Primary practice location

70 Thomas Johnson Dr
Suite 123
Frederick, MD 21702-4361

Mailing address

12533 Folly Quarter Rd
Ellicott City, MD 21042-1207
Phone (443) 310-2323

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13195MDMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255410064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12533 FOLLY QUARTER RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421207",
            "telephone_number": "443-310-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 THOMAS JOHNSON DR",
            "address_2": "SUITE 123",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024361",
            "telephone_number": "301-668-3000",
            "fax_number": "301-668-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULA-LESSING",
        "first_name": "SUNIA",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "13195",
            "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 Jul 8, 2007; 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.