Individual provider Active NPI

Mahamalage Sanduni Fernando, DDS

  • Dentist
  • Hyattsville, MD
National Provider Identifier
1881589414
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18566 Issued in MD
Practice address
6525 Belcrest Rd Ste 212
Hyattsville, MD 20782-2062
Phone
(301) 927-2900
NPI assigned
Jun 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 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 18566 MD Primary

Addresses

Primary practice location

6525 Belcrest Rd Ste 212
Hyattsville, MD 20782-2062

Mailing address

11811 Selfridge Rd
Silver Spring, MD 20906-4739
Phone (240) 918-9725

Other practice location 1

10313 Georgia Ave Ste 304
Wheaton, MD 20902-5006
Phone (301) 927-2900

Other practice location 2

13623 Georgia Ave Ste H-I
Silver Spring, MD 20906-5200
Phone (301) 933-1401

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
Ronald M Grossman DDS PA Dentist Past Accepting new patients

Organizations & group practices 1

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1881589414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 SELFRIDGE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064739",
            "telephone_number": "240-918-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 BELCREST RD STE 212",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822062",
            "telephone_number": "301-927-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10313 Georgia Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "MD",
            "postal_code": "209025006",
            "country_code": "US",
            "telephone_number": "301-927-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13623 Georgia Ave Ste H-I",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209065200",
            "country_code": "US",
            "telephone_number": "301-933-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "MAHAMALAGE",
        "middle_name": "SANDUNI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.