Sacha Delisa Walters Cargill, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17202 Issued in MD

Practice address

10801 Lockwood Dr Ste 205
Silver Spring, MD 20901-1563

Phone

(240) 670-4780

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• My Kids Dental Center, LLC

  • Pediatric Dentistry
  • Silver Spring, MD
  • NPI 1083367734
  NPD Authorized official

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1538313481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 205",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011563",
            "telephone_number": "240-670-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 205",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011563",
            "telephone_number": "240-670-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS CARGILL",
        "first_name": "SACHA",
        "middle_name": "DELISA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "17202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1083367734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Emmett Walsh, M.D.
• Mary Catherine Walshe, M. AC., L. AC.
• Walter Reed Army Medical Center
• Cassidy Walter
• Debra D Walter, LCSW
• Erin Courtney Walters, MD
• Dawn Marie Walton, MD
• Irene Olson Walton, LCSW
• Tariiq Omari Walton, LMFT
• Adjo Holase Wan

• Pediatric Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.