Individual provider Active NPI

Sydne Paige Smith, RDH

  • Dental Hygienist
  • Columbia, MD
National Provider Identifier
1982478764
Registry record updated Nov 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
8827 Issued in MD
Practice address
9881 Broken Land Pkwy Ste 102
Columbia, MD 21046-3010
Phone
(410) 381-1344
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X HYG2001214 DC
Dental Hygienist 124Q00000X 8827 MD Primary

Addresses

Primary practice location

9881 Broken Land Pkwy Ste 102
Columbia, MD 21046-3010

Mailing address

120 Fort Dr NE Apt 2
Washington, DC 20011-7418
Phone (301) 787-7302

Other practice location 1

845 Quince Orchard Blvd Ste H
Gaithersburg, MD 20878-1676
Phone (301) 527-2727

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

LicenseStateTypeSpecialty
HYG2001214DCMDDental Hygienist
8827MDMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dodek & Dodek DDS, LLC CurrentSince Nov 19, 2023 Accepting new patients
Rouhanian Dental PC PastSince Feb 23, 2020 Accepting new patients

Locations

9881 Broken Land Pkwy
Ste 102
Columbia, MD 21046
Phone (410) 381-1344

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": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1982478764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FORT DR NE APT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117418",
            "telephone_number": "301-787-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9881 BROKEN LAND PKWY STE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463010",
            "telephone_number": "410-381-1344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Quince Orchard Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208781676",
            "country_code": "US",
            "telephone_number": "301-527-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SYDNE",
        "middle_name": "PAIGE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "DC",
            "license": "HYG2001214",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "8827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.