NPIMap

Organization Active NPI

Sulekha Agrawal DMD LLC

Doing business as Columbia Family Dental Care

  • General Practice Dentistry
  • Columbia, MD
National Provider Identifier
1538701230
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SULEKHA AGRAWAL DMD LLC
Doing business as
Columbia Family Dental Care
Practice address
9194 Red Branch Rd Ste a
Columbia, MD 21045-2005
Phone
(410) 730-0011
NPI assigned
Oct 14, 2019
Last updated
Oct 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Sulekha Agrawal, DMDNPI 1366819054
Title
Dentist
Phone
(917) 319-3491

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

9194 Red Branch Rd Ste a
Columbia, MD 21045-2005

Mailing address

11145 Martha Way
Fulton, MD 20759-2214
Phone (410) 730-0011

Other names 1

  • Columbia Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1538701230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 MARTHA WAY",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592214",
            "telephone_number": "410-730-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9194 RED BRANCH RD STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452005",
            "telephone_number": "410-730-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULEKHA AGRAWAL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "SULEKHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-319-3491",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.