Individual provider Active NPI

Sarsha Blackman, DDS

  • General Practice Dentistry
  • Upper Marlboro, MD
National Provider Identifier
1871851212
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15341 Issued in MD
Practice address
9450 Pennsylvania Ave Ste 17
Upper Marlboro, MD 20772-3665
Phone
(301) 599-1810
NPI assigned
Apr 23, 2012
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15341 MD Primary

Addresses

Primary practice location

9450 Pennsylvania Ave Ste 17
Upper Marlboro, MD 20772-3665

Mailing address

9450 Pennsylvania Ave Ste 17
Upper Marlboro, MD 20772-3665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709002659 MD Order and Referring Only - DentistPractitioner - Dentist 1254643893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15341MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted Smiles, LLC General Practice CurrentSince Aug 10, 2025 Accepting new patients
Neibauer Dental Care, PC General Practice Past Accepting new patients

Locations

9450 Pennsylvania Ave
Ste 17
Upper Marlboro, MD 20772
Phone (301) 599-1810

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1871851212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 PENNSYLVANIA AVE STE 17",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 PENNSYLVANIA AVE STE 17",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723665",
            "telephone_number": "301-599-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "SARSHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.