Active NPI
Dr.Sivakumar Pediatric Dental Center LLC
- Pediatric Dentistry
- Frederick, MD
National Provider Identifier
1649441494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13749
- Legal business name
- DR.SIVAKUMAR PEDIATRIC DENTAL CENTER LLC
- Practice address
- 52 Thomas Johnson Dr
Frederick, MD 21702-4501 - Phone
- (301) 631-0501
- Fax
- (301) 631-0601
- NPI assigned
- Mar 20, 2008
- Last updated
- Aug 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. T.P. Sivakumar, DDS
- Title
- Pediatric Dentist
- Phone
- (301) 631-0501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 13749 | MD | Primary |
Addresses
Primary practice location
52 Thomas Johnson Dr
Frederick, MD 21702-4501
Mailing address
52 Thomas Johnson Dr
Frederick, MD 21702-4501
Phone (301) 631-0501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164405767 | Other | MD | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
52 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-9573
57 Thomas Johnson Dr
Ste A
Frederick, MD 21702
Phone (301) 404-1665
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.
-
- Pediatric Dentistry
- Frederick, MD
- NPI 1164405767
-
- Pediatric Dentistry
- Columbia, MD
- NPI 1295042398
-
- Pediatric Dentistry
- Frederick, MD
- NPI 1073927455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1649441494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024501",
"telephone_number": "301-631-0501",
"fax_number": "301-631-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024501",
"telephone_number": "301-631-0501",
"fax_number": "301-631-0601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR.SIVAKUMAR PEDIATRIC DENTAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "SIVAKUMAR",
"authorized_official_first_name": "T.P.",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "301-631-0501",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "13749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1164405767",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
- Dr. E.J. Stringer, D.M.D., P.a. (Pearlfection Dentistry)
- Dr. Edward S. Andochick, PA
- Dr. Eunjoo Song Stringer DMD
- Dr. Riku Mukherjee, D.D.S., P.a. (Frederick Family and Cosmetic Dentistry)
- Dr. Robert H. Mayernik, LLC (Women's Health Care Group)
- Berenice Drabo
- Brice L Drabo
- Sara Samson Drake, LMSW
- Janice Drass, MA, RN, CDE
- Caroline Draughon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.