Individual provider Active NPI

Janice Irene Blough-Labuda, D.M.D.

  • Dentist
  • Lavale, MD
National Provider Identifier
1114905569
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12554 Issued in MD
Practice address
444 National Hwy
Lavale, MD 21502-7129
Phone
(301) 724-2978
Fax
(301) 724-6652
NPI assigned
Jan 5, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
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
Dentist 122300000X 12554 MD Primary

Addresses

Primary practice location

444 National Hwy
Lavale, MD 21502-7129

Mailing address

444 National Hwy
Lavale, MD 21502-7129
Phone (301) 724-2978

Other identifiers 1

IdentifierTypeStateIssuer
811203OtherMDUCCI PROV. NUMBER

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
12554MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Janice I. Blough-Labuda, DMD, PA 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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114905569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027129",
            "telephone_number": "301-724-2978",
            "fax_number": "301-724-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027129",
            "telephone_number": "301-724-2978",
            "fax_number": "301-724-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUGH-LABUDA",
        "first_name": "JANICE",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI PROV. NUMBER",
            "identifier": "811203",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, 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.