Individual provider Active NPI

Sadaf Nasir, DDS

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1477809374
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15130 Issued in MD
Practice address
2331 Forest Dr Ste E
Annapolis, MD 21401-3868
Phone
(410) 224-4500
NPI assigned
Jul 28, 2012
Last updated
Mar 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15130 MD Primary

Addresses

Primary practice location

2331 Forest Dr Ste E
Annapolis, MD 21401-3868

Mailing address

5570 Sterrett PL Ste 301
Columbia, MD 21044-2654
Phone (410) 886-8672

Other practice location 1

5570 Sterrett Pl Ste 301
Columbia, MD 21044-2654
Phone (410) 886-8672

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
15130MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Dental Wellness, L.L.C. CurrentSince Mar 24, 2024 Accepting new patients

Locations

5570 Sterrett Pl
Ste 301
Columbia, MD 21044
Phone (410) 886-8672

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": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1477809374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 STERRETT PL STE 301",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442654",
            "telephone_number": "410-886-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 FOREST DR STE E",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013868",
            "telephone_number": "410-224-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5570 Sterrett Pl Ste 301",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442654",
            "country_code": "US",
            "telephone_number": "410-886-8672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASIR",
        "first_name": "SADAF",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-28",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; 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.