Individual provider Active NPI

Joseph Ewing

  • Registered Dietitian
  • Grasonville, MD
National Provider Identifier
1134092984
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX3439 Issued in MD
Practice address
152 Tall Pines LN
Grasonville, MD 21638-1318
Phone
(443) 786-6630
NPI assigned
Sep 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX3439 MD Primary

Addresses

Primary practice location

152 Tall Pines LN
Grasonville, MD 21638-1318

Mailing address

152 Tall Pines LN
Grasonville, MD 21638-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, NJ, AZ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20251014004200 CO Practitioner - Registered Dietitian Or Nutrition Professional 1951644640 Reassigns benefits to 1 organization
I20251014004358 TX Practitioner - Registered Dietitian Or Nutrition Professional 1951644640 Reassigns benefits to 2 organizations
I20251014004468 NJ Practitioner - Registered Dietitian Or Nutrition Professional 1951644640 Reassigns benefits to 1 organization
I20251020002204 AZ Practitioner - Registered Dietitian Or Nutrition Professional 1951644640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

130 E Congress St
Suite 200 139
Tucson, AZ 85701-1708
Phone (724) 307-5926

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX3439MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Surely Health, Inc. Dietitian, Registered CurrentSince Sep 1, 2025 Accepting new patients
Season Clinical Care NJ PC Dietitian, Registered CurrentSince Sep 1, 2025 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Sep 1, 2025 Accepting new patients
H-E-B, LP PastSince Sep 1, 2025 Accepting new patients

Locations

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

130 E Congress St
Ste 213
Tucson, AZ 85701

102 S Tejon St
Ste 100
Colorado Springs, CO 80903
Phone (970) 319-2999

1719 Highway 10
Ste 300
Parsippany, NJ 07054

1719 Highway 10
Parsippany, NJ 07054

6565 N MacArthur Blvd
Irving, TX 75039

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1134092984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 TALL PINES LN",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 TALL PINES LN",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381318",
            "telephone_number": "443-786-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grasonville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.