Active NPI
Nader Sidhom, DMD
- Dentist
- Fort Washington, MD
National Provider Identifier
1750126892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18443
- Practice address
- 9500 Livingston Rd Ste 105
Fort Washington, MD 20744-4973 - Phone
- (301) 203-3944
- NPI assigned
- Jun 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN2000400 | DC | |
| Dentist | 122300000X | 18443 | MD | Primary |
Addresses
Primary practice location
9500 Livingston Rd Ste 105
Fort Washington, MD 20744-4973
Mailing address
2618 University PL NW Unit 4
Washington, DC 20009-6372
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN2000400 | DC | MD | Dentist |
| 18443 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Maryland, Charles Foer, PC | Current | Accepting new patients | |
| Dental Associates of Maryland LLC | Dentist | Past | Accepting new patients |
Locations
9500 Livingston Rd
Ste 105
Fort Washington, MD 20744
Phone (301) 203-3944
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.
-
- Dentist
- Bethesda, MD
- NPI 1720901457
-
- General Practice Dentistry
- Fort Washington, MD
- NPI 1265093355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1750126892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 UNIVERSITY PL NW UNIT 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200096372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 LIVINGSTON RD STE 105",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444973",
"telephone_number": "301-203-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHOM",
"first_name": "NADER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-29",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN2000400",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.