Individual provider Active NPI

Maryam Sultana Ahmed, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Sterling, VA
National Provider Identifier
1417206368
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401416061 Issued in VA
Practice address
6 Pidgeon Hill Dr Ste 103
Sterling, VA 20165-6180
Phone
(703) 651-6620
NPI assigned
Sep 6, 2012
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401416061 VA Primary
General Practice Dentistry 1223G0001X 0401416061 VA
Dentist 122300000X 4381 WV

Addresses

Primary practice location

6 Pidgeon Hill Dr Ste 103
Sterling, VA 20165-6180

Mailing address

41382 Raspberry Dr
Leesburg, VA 20176-7826
Phone (440) 281-2960

Other practice location 1

215 E 5th Ave
Ranson, WV 25438-1613
Phone (304) 725-8660

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
4381WVMDDentist
0401416061VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Sleep Care LLC Current Accepting new patients

Locations

6 Pidgeon Hill Dr
Ste 103
Sterling, VA 20165
Phone (703) 651-6620

Organizations & group practices 1

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1417206368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41382 RASPBERRY DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201767826",
            "telephone_number": "440-281-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PIDGEON HILL DR STE 103",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656180",
            "telephone_number": "703-651-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254381613",
            "country_code": "US",
            "telephone_number": "304-725-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MARYAM",
        "middle_name": "SULTANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401416061",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416061",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.