Individual provider Active NPI

Jan S. Katzen, D.D.S.

  • General Practice Dentistry
  • Finksburg, MD
National Provider Identifier
1124104104
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13761 Issued in MD
Practice address
2029 Suffolk Rd.
Suite a
Finksburg, MD 21048-1630
Phone
(410) 861-8900
Fax
(410) 861-8445
NPI assigned
Oct 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 13761 MD Primary

Addresses

Primary practice location

2029 Suffolk Rd.
Suite a
Finksburg, MD 21048-1630

Mailing address

334 Lauren Hill CT
Reisterstown, MD 21136-6513
Phone (410) 206-6150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706000068 MD Order and Referring Only - DentistPractitioner - Dentist 9133431109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates, LLC General Practice 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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124104104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 LAUREN HILL CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366513",
            "telephone_number": "410-206-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 SUFFOLK RD.",
            "address_2": "SUITE A",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210481630",
            "telephone_number": "410-861-8900",
            "fax_number": "410-861-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZEN",
        "first_name": "JAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Finksburg, MD

Sources for this page

Verify at the official NPI Registry.