Organization Active NPI

Jenx Family Dentistry, L.L.C.

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1134680226
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JENX FAMILY DENTISTRY, L.L.C.
Practice address
7850 Rossville Blvd Ste 210
Baltimore, MD 21236-3934
Phone
(443) 564-3617
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Dr. Nicole Stewart-Joseph, DDSNPI 1104014810
Title
Agent/Owner
Phone
(443) 564-3617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7850 Rossville Blvd Ste 210
Baltimore, MD 21236-3934

Mailing address

6716 Glenkirk Rd
Baltimore, MD 21239-1410
Phone (443) 564-3617

Other identifiers 1

IdentifierTypeStateIssuer
051488800MedicaidMD

National Provider Directory

National Provider Directory

Locations

7850 Rossville Blvd
Baltimore, MD 21236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1134680226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 GLENKIRK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391410",
            "telephone_number": "443-564-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 ROSSVILLE BLVD STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363934",
            "telephone_number": "443-564-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENX FAMILY DENTISTRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "STEWART-JOSEPH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "AGENT/OWNER",
        "authorized_official_telephone_number": "443-564-3617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051488800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.