Active NPI
Jan S. Katzen, D.D.S.
- General Practice Dentistry
- Finksburg, MD
National Provider Identifier
1124104104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13761
- 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, 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150706000068 | MD | Order and Referring Only - Dentist | 9133431109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Finksburg, MD
- NPI 1386891851
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
- Independent Car Service Inc
- Independent Mobility LLC
- Daniel Paul Jones, DDS
- So Mee Jung, DDS
- Robin Elaine-Plesset Katcoff, PHARMD
- Kemrem Behavioral Healthcare Service, LLC
- Kemrem Behavioral Healthcare Service, LLC
- Kemrem Behavioral Healthcare Service, LLC
- Kemrem Healthcare Limited Liability
- Kemrem Healthcare Limited Liability Company
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.