DR. SIVAKUMAR SREENIVASAN (NPI# 1275670937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275670937 |
| Entity Type | Individual |
| Full Name | DR. SIVAKUMAR SREENIVASAN |
| Credential | DMD, MDS |
| Practice Address |
77 S Washington St Ste 205 Rockville MD 20850-2331 |
| Practice Telephone | 3012948700 |
| Practice Fax Number | 3012949007 |
| Mailing Telephone | 3012948700 |
| Mailing Fax Number | 3012949007 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12242 | MD | Dental Providers |
| Street Address |
77 S WASHINGTON ST STE 205 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689065294 | Omfs Md, P.a. | Dentist | 77 S Washington St Ste 205, Rockville, MD 20850-2331 | 2015-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457764052 | Xun Joy Chen | Dentist | 15005 Shady Grove Rd Ste 420, Rockville, MD 20850-6321 | 2014-06-11 |
| 1598011066 | Sarah Naghibi | Dentist | 14955 Shady Grove Rd Ste 350, Rockville, MD 20850-8721 | 2012-08-01 |
| 1629276522 | Jason Jin Soo Bae | Dentist | 14955 Shady Grove Rd Ste 330, Rockville, MD 20850-8720 | 2007-07-03 |
| 1497881015 | Ralph Walter Alman Jr. | Dentist | 11300 Rockville Pike Ste 1011, Rockville, MD 20852-3038 | 2007-02-26 |
| 1194806984 | Brian T Robinson | Dentist | 14955 Shady Grove Road, Suite 330, Rockville, MD 20850 | 2006-10-18 |
| 1689065294 | Omfs Md, P.a. | Dentist | 77 S Washington St Ste 205, Rockville, MD 20850-2331 | 2015-02-18 |
| 1649676503 | Montgomery Oral & Facial Surgery, LLC | Dentist | 4701 Randolph Rd, Suite G-10, Rockville, MD 20852-2257 | 2014-11-05 |
| 1871852186 | Maryland Oral Surgery Associates of Silver Spring LLC | Dentist | 14955 Shady Grove Road, Suite 330, Rockville, MD 20850 | 2012-05-07 |
| 1942573860 | Montgomery Oral & Facial Surgery, LLC | Dentist | 4701 Randolph Rd, G10, Rockville, MD 20852-2257 | 2012-02-23 |
| 1558667980 | Steven Robert Kishter | Dentist | 11404 Old Georgetown Rd, Suite 104, Rockville, MD 20852-2865 | 2011-02-02 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.