Jose Carlos Juambeltz, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11030 Issued in MD

Practice address

10085 Dunkirk Way Ste 104
Dunkirk, MD 20754-2024

Phone

(410) 257-7676

Fax

(410) 257-5212

NPI assigned

Mar 7, 2006

Last updated

May 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Dentistry

  • Pediatric Dentistry
  • Dunkirk, MD
  • NPI 1992476469
  NPD Authorized official
• Pediatric Dentistry

  • Pediatric Dentistry
  • Leonardtown, MD
  • NPI 1124892344
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1083681191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207540219",
            "telephone_number": "410-271-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 DUNKIRK WAY STE 104",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542024",
            "telephone_number": "410-257-7676",
            "fax_number": "410-257-5212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23140 Moakley St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "206502923",
            "country_code": "US",
            "telephone_number": "301-997-0400",
            "fax_number": "301-997-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAMBELTZ",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "11030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448244100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Itek LTD. T/a Pearle Vision
• J & JS Physical Therapy Inc
• John Bubser DPM PA
• Ladonna Johnson, LCPC
• Anna Juambeltz
• Angele Pedie Kamdem, PHARM D
• Hannah Kamsheh, LGPC
• Patricia Ann Kane, F.N.P.-C.
• Brendan James Christopher Keena, PT, DPT
• Catherine Kellogg, LCSW-C

• Pediatric Dentistry in Dunkirk, MD
• Providers in Dunkirk, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.