Kirstie Ninan

Primary specialty

DentistTaxonomy code 122300000X

License

16730 Issued in MD

Practice address

3130 Olney Sandy Spring Rd
Olney, MD 20832-1408

Phone

(240) 665-5485

NPI assigned

Apr 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aspen Hill Modern Dentistry, LLC

  dba Aspen Hill Modern Dentistry

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1245962547
  NPD
• Gaithersburg Modern Dentistry, LLC

  dba Gaithersburg Modern Dentistry

  • Dentist
  • Gaithersburg, MD
  • NPI 1578242780
  NPD
• Olney Modern Dentistry, LLC

  dba Olney Modern Dentistry

  • General Practice Dentistry
  • Olney, MD
  • NPI 1316671019
  NPD (past)
• West Pines Modern Dentistry, PA

  dba West Pines Modern Dentistry

  • Dentist
  • Pembroke Pines, FL
  • NPI 1134654064
  NPD (past)

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1275987190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BRICK MANOR CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209053818",
            "telephone_number": "540-623-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 OLNEY SANDY SPRING RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321408",
            "telephone_number": "240-665-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29950 Haun Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866527",
            "country_code": "US",
            "telephone_number": "540-623-6415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 Muddy Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208782780",
            "country_code": "US",
            "telephone_number": "240-801-3138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13745 Connecticut Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209062916",
            "country_code": "US",
            "telephone_number": "240-762-4773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18312 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330291412",
            "country_code": "US",
            "telephone_number": "786-204-0713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NINAN",
        "first_name": "KIRSTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-17",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101948",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16730",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Denham Nguy, CRNP
• My-Linh Nguyen, MD
• Lisa Nicholas, CRNP
• Phyllis E Nicholson, MD
• Mekdes Niguse, PA
• Rafael J Nollie, CSA/LPN
• Jennifer M Novick, ED.M.
• NRH Regional Rehab at Olney, Inc. (MedStar Health Physical Therapy at Olney)
• NRH Regional Rehab at Olney, Inc. (MedStar Health Physical Therapy at Olney)
• Nurses for Care, Inc

• Dentist in Olney, MD
• Providers in Olney, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.