Active NPI
Saidat Bamidele Popoola, RDH, B.S.
- Dental Hygienist
- Gaithersburg, MD
National Provider Identifier
1679866032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 6194
- Practice address
- 200 Girard St
Gaithersburg, MD 20877-3466 - Phone
- (240) 720-0439
- NPI assigned
- May 18, 2011
- Last updated
- Jun 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 6194 | MD | Primary |
Addresses
Primary practice location
200 Girard St
Gaithersburg, MD 20877-3466
Mailing address
10570 Faulkner Ridge Cir
Columbia, MD 21044-2230
Phone (443) 547-0419
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6194 | MD | MD | Dental Hygienist |
Interoperability endpoints
- saidat.popoola.p1@direct.mcg-hhs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1679866032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10570 FAULKNER RIDGE CIR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442230",
"telephone_number": "443-547-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GIRARD ST",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208773466",
"telephone_number": "240-720-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOOLA",
"first_name": "SAIDAT",
"middle_name": "BAMIDELE",
"credential": "RDH, B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "6194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.