Individual provider Active NPI

Deepa Suryanarayanan, DMD

  • General Practice Dentistry
  • Hyattsville, MD
National Provider Identifier
1609178847
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413027 Issued in VA
Practice address
6525 Belcrest Rd Ste 212
Hyattsville, MD 20782-2062
Phone
(301) 927-2900
NPI assigned
Nov 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14792 MD
General Practice Dentistry 1223G0001X 0401413027 VA Primary

Addresses

Primary practice location

6525 Belcrest Rd Ste 212
Hyattsville, MD 20782-2062

Mailing address

801 15TH St S Apt 1004
Arlington, VA 22202-5020
Phone (571) 265-3969

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
14792MDMDDentist
0401413027VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Deepa S DMD LLC Dentist Current Accepting new patients
Rajinder S. Bhullar DDS,PA Dentist Past Accepting new patients
Ronald M Grossman DDS PA Dentist PastSince Nov 9, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1290211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1609178847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 15TH ST S APT 1004",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222025020",
            "telephone_number": "571-265-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 BELCREST RD STE 212",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822062",
            "telephone_number": "301-927-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYANARAYANAN",
        "first_name": "DEEPA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14792",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.