Active NPI
James Michael Giesen, DDS
- Dentist
- Fort Meade, MD
National Provider Identifier
1053505271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00011046
- Practice address
- Fort Meade Dental Activity
8476 Simonds St
Fort Meade, MD 20755 - Phone
- (301) 677-6122
- NPI assigned
- Aug 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00011046 | WA | Primary |
Addresses
Primary practice location
Fort Meade Dental Activity
8476 Simonds St
Fort Meade, MD 20755
Mailing address
Fort Meade Dental Activity
8476 Simonds St
Fort Meade, MD 20755
Phone (301) 677-6122
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE00011046 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1053505271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FORT MEADE DENTAL ACTIVITY",
"address_2": "8476 SIMONDS ST",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "301-677-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FORT MEADE DENTAL ACTIVITY",
"address_2": "8476 SIMONDS ST",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "301-677-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIESEN",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2025-05-09",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00011046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.