Omfs MD, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12242 Issued in MD

Legal business name

OMFS MD, P.A.

Practice address

77 S Washington St Ste 205
Rockville, MD 20850-2331

Phone

(301) 294-8700

Fax

(301) 294-9007

NPI assigned

Feb 18, 2015

Last updated

Feb 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sivakumar Sreenivasan, DMD, MDSNPI 1275670937

Title

Owner

Phone

(301) 294-8700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Sivakumar Sreenivasan, DMD, MDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Rockville, MD
  • NPI 1275670937
  NPD Authorized official

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1689065294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S WASHINGTON ST STE 205",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502331",
            "telephone_number": "301-294-8700",
            "fax_number": "301-294-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S WASHINGTON ST STE 205",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502331",
            "telephone_number": "301-294-8700",
            "fax_number": "301-294-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMFS MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "SREENIVASAN",
        "authorized_official_first_name": "SIVAKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-294-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "12242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Oluwatobi Omisore
• Inioluwa Oluwole
• Tomiwa Oluyen
• Alvin Ombati
• Ekram Omeredin
• Omnia Health
• Oluwadamilola Omopariola, PHARM.D.
• Becky Omorogieva
• Edward Omosele
• Farian Olamide Omotesho

• Oral and Maxillofacial Surgery (Dentist) in Rockville, MD
• Providers in Rockville, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.