NPIMap

Organization Active NPI

Sumanya Venkat Rao DDS PC

Doing business as Pikesville Dental Associates

  • Dental Clinic/Center
  • Baltimore, MD
National Provider Identifier
1255819470
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
15681 Issued in MD
Legal business name
SUMANYA VENKAT RAO DDS PC
Doing business as
Pikesville Dental Associates
Practice address
3635 Old Court Rd Ste 510
Baltimore, MD 21208-3916
Phone
(443) 540-6007
Fax
(443) 609-4713
NPI assigned
Jul 31, 2018
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Dr. Sumanya Venkat Rao, DDSNPI 1376947127
Title
General Dentist
Phone
(443) 898-6788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 15681 MD Primary

Addresses

Primary practice location

3635 Old Court Rd Ste 510
Baltimore, MD 21208-3916

Mailing address

3635 Old Court Rd Ste 510
Pikesville, MD 21208-3916
Phone (443) 898-6788

Other identifiers 1

IdentifierTypeStateIssuer
089290400MedicaidMD

Other names 1

  • Pikesville Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pikesville Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1255819470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD STE 510",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083916",
            "telephone_number": "443-898-6788",
            "fax_number": "443-213-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD STE 510",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083916",
            "telephone_number": "443-540-6007",
            "fax_number": "443-609-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMANYA VENKAT RAO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "VENKAT RAO",
        "authorized_official_first_name": "SUMANYA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "443-898-6788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "15681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089290400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikesville Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.