Individual provider Active NPI

Bashar Ahmad Sadat, DDS

  • Dentist
  • Severna Park, MD
National Provider Identifier
1740108679
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18860 Issued in MD
Practice address
572 Ritchie Hwy Ste F
Severna Park, MD 21146-2966
Phone
(410) 647-4094
NPI assigned
Jul 8, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18860 MD Primary

Addresses

Primary practice location

572 Ritchie Hwy Ste F
Severna Park, MD 21146-2966

Mailing address

2494 Riva Rd Apt 1303
Annapolis, MD 21401-7697
Phone (304) 888-3202

Other practice location 1

101 Ridgely Ave Ste 12B
Annapolis, MD 21401-1415
Phone (410) 267-0766

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yeremi a Canizales DDS P a PastSince Aug 11, 2019 Accepting new patients
Maryland Dental Healthcare Network, LLC Dentist PastSince May 26, 2024 Accepting new patients

Organizations & group practices 2

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": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1740108679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 RIVA RD APT 1303",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017697",
            "telephone_number": "304-888-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 RITCHIE HWY STE F",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462966",
            "telephone_number": "410-647-4094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Ridgely Ave Ste 12B",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011415",
            "country_code": "US",
            "telephone_number": "410-267-0766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADAT",
        "first_name": "BASHAR",
        "middle_name": "AHMAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.