Individual provider Active NPI

John Edward Longley, D.D.S.

  • General Practice Dentistry
  • Timonium, MD
National Provider Identifier
1053315317
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13371 Issued in MD
Practice address
20 E Timonium Rd
Ste 210
Timonium, MD 21093-3456
Phone
(410) 308-4880
Fax
(410) 308-4883
NPI assigned
Jun 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 13371 MD Primary

Addresses

Primary practice location

20 E Timonium Rd
Ste 210
Timonium, MD 21093-3456

Mailing address

118 Bosley Ave
Cockeysville Hunt Valley, MD 21030-2334
Phone (410) 666-1213

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
13371MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnar Fisher Dentistry 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, 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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053315317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BOSLEY AVE",
            "city": "COCKEYSVILLE HUNT VALLEY",
            "state": "MD",
            "postal_code": "210302334",
            "telephone_number": "410-666-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E TIMONIUM RD",
            "address_2": "STE 210",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933456",
            "telephone_number": "410-308-4880",
            "fax_number": "410-308-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGLEY",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.